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Contact Information

P-COR, LLC
504 N TELEGRAPH RD
MONROE, MI48162
 Phone: 734-243-2020
 Fax: 734-243-4567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for P COR LLC · (Female)

NPI Number 1871788562
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2007
Last updated 01/22/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901003915
  • MI Medicaid 4093447
  • MI Other 900E810860 BLUE CROSS BLUE SHIELD
  • MI Other 38866 DAVIS VISION
  • MI Other MI3915 EYEMED
  • MI Other 230629 NVA
  • MI Other 03420 PARAMOUNT
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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