LINCOLN PARK REHABILITATION PC NPI 1477191369

NPI Information

NPI: 1477191369
Provider Name: LINCOLN PARK REHABILITATION PC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 23D1100780

Address:
3755 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (586) 983-8133
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LINCOLN PARK REHABILITATION PC is a pain clinic center in Lincoln Park, MI. LINCOLN PARK REHABILITATION PC NPI is 1477191369. The provider is registered as an organization entity type.

The provider's business location address is:

3755 FORT ST
LINCOLN PARK, MI
ZIP 48146-118
Phone: (586) 983-8133

The provider's authorized official is Fady Fayad .
The authorized official title is Doctor and has the following contact phone number (586) 983-8133.

The CLIA number assigned to this NPI record is 23D1100780 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2019 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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