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Contact Information

GLORY HEALTH, LLC
23077 GREENFIELD RD STE 222
SOUTHFIELD, MI48075-3745
 Phone: 248-805-2000
 Fax: 888-283-9115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Neurology

2084N0400X 13 Physician/Neurology
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GLORY HEALTH, LLC

NPI Number 1215439674
LBN Legal business name GLORY HEALTH, LLC
Authorized official HELEN BLICHARZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2018
Last updated 03/06/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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