National Provider Identifier Database

ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION
135 S PROSPECT ST
YPSILANTI, MI48198-7914
Phone: 734-547-4900
Fax: 734-547-1161
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Physician Assistant 363A00000X
Surgery 208600000X
Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION

NPI Number 1912066093
Legal business name
LBN
ADDISON COMMUNITY PHYSICIAN SERVICES ASSOCIATION
Authorized official JOANN SCRIPKO - (PATIENT ACCOUNTS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/06/2006
Last updated 03/11/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 700H111110 BCBS OF MI

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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