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CUSTOM CARE TEAM INC. NPI 1972910933


NPI Information

NPI: 1972910933
Provider Name: CUSTOM CARE TEAM, INC.

Doing Business As: MED TEAM THERAPY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1915 BALDWIN AVE
PONTIAC, MI
ZIP 48340
Phone: (734) 779-9799
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CUSTOM CARE TEAM, INC. is a specialist in Pontiac, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CUSTOM CARE TEAM, INC. NPI is 1972910933. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Med Team Therapy.

The provider's business location address is:

1915 BALDWIN AVE
PONTIAC, MI
ZIP 48340-173
Phone: (734) 779-9799
Fax: (734) 779-9796

The provider's authorized official is Linda V. Harvey .
The authorized official title is Director Of Program And Policy Deve and has the following contact phone number (210) 270-1355.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 9/19/2014.


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
1174400000XSpecialistYes

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

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