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Contact Information

CAPITAL MEDICAL ASSOC. PC
5385 TERENCE CT
BLOOMFIELD HILLS, MI48302-2555
 Phone: 248-851-2083
 Fax: 248-855-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CAPITAL MEDICAL ASSOC PC · (Female)

NPI Number 1790876241
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2006
Last updated 02/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # JG005927
  • MA Other 055632430 BLUE CROSS
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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