National Provider Identifier Database

GATEWAY DETROIT
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

GATEWAY DETROIT
11457 SHOEMAKER ST
DETROIT, MI48213-3418
Phone: 313-331-3435
Fax: 313-924-0609
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for GATEWAY DETROIT

NPI Number 1831508522
Legal business name
LBN
GATEWAY DETROIT
Authorized official FREDERICK CARR - (SOCIAL WORKER/CASE MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/06/2014
Last updated 08/06/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 6803086187

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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