National Provider Identifier Database

DETROIT MEDICAL CENTER
Children


Contact Information

DETROIT MEDICAL CENTER
43205 CREEKVIEW DR
CANTON, MI48187-3049
Phone: 734-844-7241
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X
End-Stage Renal Disease (ESRD) Treatment 261QE0700X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for DETROIT MEDICAL CENTER

NPI Number 1619332574
Legal business name
LBN
DETROIT MEDICAL CENTER
Authorized official TRACEY TYUS-BAILEY - (CLINICAL SOCIAL WORKER)
Entity Organization
Organization subpart Yes
Enumeration date 12/19/2015
Last updated 12/19/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 6801067466
  • MI Other: 6801067466 MICHIGAN LICENSE NUMBER

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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