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Contact Information

EXECUTIVE EDGE INTERNATIONAL, INC.
32905 W 12 MILE RD
FARMINGTON HILLS, MI48334-3342
 Phone: 248-790-4061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for EXECUTIVE EDGE INTERNATIONAL, INC.

NPI Number 1174041909
LBN Legal business name EXECUTIVE EDGE INTERNATIONAL, INC.
Authorized official GIGI CRISTACHE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2017
Last updated 06/16/2018 - 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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