National Provider Identifier Database

MCH PROGRAM
Voluntary or Charitable


Contact Information

MCH PROGRAM
2567 ASHLAND ST
DETROIT, MI48215-2501
Phone: 313-338-6226
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MCH PROGRAM

NPI Number 1275882623
Legal business name
LBN
MCH PROGRAM
Authorized official TENETIA JOHNSON - (CHIEF EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/31/2012
Last updated 08/31/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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