National Provider Identifier Database

PREMIUM OUTREACH MINISTRY CHURCH
Voluntary or Charitable


Contact Information

PREMIUM OUTREACH MINISTRY CHURCH
8605 APPOLINE ST
DETROIT, MI48228-4039
Phone: 313-933-3114
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for PREMIUM OUTREACH MINISTRY CHURCH

NPI Number 1699003343
Legal business name
LBN
PREMIUM OUTREACH MINISTRY CHURCH
Authorized official ERMA BERNARD - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/18/2009
Last updated 11/18/2009 - About 17 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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