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Contact Information

PREMIER NEUROPSYCHIATRY PLC
5930 LOVERS LANE
PORTAGE, MI49002
 Phone: 269-552-3900
 Fax: 269-488-3930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PREMIER NEUROPSYCHIATRY PLC · (Female)

NPI # 1174836316
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2010
Last updated 12/21/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301071405
  • MI Medicaid 4396230
  • Other 1366550246 NPI
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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