DR ENOS MARCUS HUMBLES D.O. LLC NPI 1891935656

NPI Information

NPI: 1891935656
Provider Name: DR ENOS MARCUS HUMBLES D.O. LLC

Doing Business As: REDFORD URGENT CARE MEDICAL CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
23405 PLYMOUTH RD
REDFORD, MI
ZIP 48239
Phone: (313) 535-7880
Get Directions

DR ENOS MARCUS HUMBLES D.O. LLC is a general practice in Redford, 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 ENOS MARCUS HUMBLES D.O. LLC NPI is 1891935656. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Redford Urgent Care Medical Center.

The provider's business location address is:

23405 PLYMOUTH RD
REDFORD, MI
ZIP 48239-433
Phone: (313) 535-7880
Fax: (313) 535-8388

The provider's authorized official is Enos Marcus Humbles .
The authorized official title is Owner/medical Director and has the following contact phone number (313) 535-7880.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 9/11/2009.

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	208D00000X	General Practice		5101011838	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	5101011838	OTHER	MICHIGAN	STATE OF MICHIGAN
2	1891935656	OTHER	MICHIGAN	GROUP NPI NUMBER
3	G22244	MEDICARE UPIN	MICHIGAN
4	0N71650	MEDICARE PIN	MICHIGAN
5	1902850472	OTHER		NPI
6	114506064	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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