Southeastern Michigan Kidney Center Pllc, NPI 1316967797
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Berkley, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1316967797 |
| NPI Entity Type | Organization |
| Provider Name | Southeastern Michigan Kidney Center Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1695 W 12 Mile Rd, Suite 250, Berkley, MI, US |
| Provider Mailing Address | 30100 Telegraph Rd, Suite 200, Bingham Farms, MI, US, 480254516 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. David F Shepherd |
| Official Position | VICE PRESIDENT |
| Phone | 248-642-5038 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 000000009371 | CAPE | 01 | |
| 08981 | BLUE CROSS PRIMARY | 01 | |
| 08981 | FED BLUE CROSS PRIMARY | 01 | |
| 1022510001 | WELLNESS | 01 | |
| 140042 | CARE CHOICES | 01 | |
| OP630345 | M CARE | 01 | |
| 09499 | BLUE CROSS SECONDARY | 01 | |
| 501076 | ULTI MED | 01 | |
| 567595 | SELECTCARE | 01 | |
| P117519 | BLUE CARE NETWORK | 01 | |
| 140042 | PREFERRED CHOICE | 01 | |
| 09499 | FED BLUE CROSS SECONDARY | 01 | |
| 8203 | GREATLAKES | 01 | |
| 232574 | HAP | 01 | |
| 4112097 | MI | MEDICAID | 05 |
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|---|---|---|---|
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DDS, MS Suhaib Alqawasmeh Individual |
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Alexis K Willmore Individual |
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