Apex Wellness Center Llc | |
20905 Greenfield Rd Ste 508 Southfield MI 48075-5351 | |
(248) 809-6552 | |
(248) 809-6658 |
Full Name | Apex Wellness Center Llc |
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Speciality | Psychiatry & Neurology |
Location | 20905 Greenfield Rd Ste 508, Southfield, Michigan |
Authorized Official Name and Position | Uche G Obua (PRESIDENT) |
Authorized Official Contact | 5179147788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Apex Wellness Center Llc 20905 Greenfield Rd Ste 508 Southfield MI 48075-5351 Ph: (248) 809-6552 | Apex Wellness Center Llc 20905 Greenfield Rd Ste 508 Southfield MI 48075-5351 Ph: (248) 809-6552 |
NPI Number | 1023772985 |
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Provider Enumeration Date | 10/27/2021 |
Last Update Date | 10/27/2021 |
Certification Date | 10/27/2021 |
Medicare PECOS PAC ID | 3779973615 |
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Medicare Enrollment ID | O20211208000242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023772985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
Provider Name | Sunday Ilechukwu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144268269 PECOS PAC ID: 7012910276 Enrollment ID: I20060809000228 |
Provider Name | Uche Obua |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265982466 PECOS PAC ID: 6800052085 Enrollment ID: I20170817002565 |
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