DR. CHARISE LANETTE VALENTINE M.D. NPI 1366485039

NPI Information

NPI: 1366485039
Provider Name: DR. CHARISE LANETTE VALENTINE, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
4245 S BEECH DALY ST
SUITE 104
DEARBORN HEIGHTS, MI
ZIP 48125
Phone: (313) 730-9011
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DR. Charise Lanette Valentine, M.D. is a general practice in Dearborn Heights, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Charise Lanette Valentine, M.D. NPI is 1366485039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4245 S BEECH DALY ST
SUITE 104
DEARBORN HEIGHTS, MI
ZIP 48125-567
Phone: (313) 730-9011
Fax: (313) 730-9013

The enumeration date for this NPI number is 6/13/2006 and was last updated on 2/4/2011.

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	204D00000X	Neuromusculoskeletal Medicine & OMM		CV053752	MICHIGAN	No
2	208D00000X	General Practice		CV053752	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N58980010	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	700H219440	OTHER	MICHIGAN	BCBS
3	A16112	MEDICARE UPIN	MICHIGAN
4	1306343272	OTHER	MICHIGAN	BCBS PERSONAL
5	4614876-10	MEDICAID	MICHIGAN

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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