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Contact Information

NEURO PAIN CONSULTANTS PC
359 ENTERPRISE CT SPC B
BLOOMFIELD HILLS, MI48302-1055
 Phone: 248-751-7246
 Fax: 248-418-2311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NEURO PAIN CONSULTANTS PC · (Female)

NPI # 1417936584
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2006
Last updated 05/18/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301016093
  • MI License # 4301029245
  • MI License # 4301041666
  • MI License # 4301058094
  • MI License # 4301059614
  • MI License # 4301063268
  • MI License # 4301070369
  • MI License # 4301072377
  • MI License # 4301404978
  • MI License # 4301406392
  • MI License # 4704150069
  • MI License # 4704178303
  • MI License # 5501007831
  • MI License # 5601003312
  • MI Other 700F318300 BLUE CROSS BLUE SHIELD
  • MI Other CK8693 RAILROAD MEDICARE
  • MI Other 135978600 US DEPARTMENT OF LABOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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