| Elonzo Duncan Inc. | |
|
G3500 Flushing Rd Suite 112e Flint MI 48504-4235 | |
| (810) 239-8617 | |
| (810) 230-8459 |
| Full Name | Elonzo Duncan Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | G3500 Flushing Rd, Flint, Michigan |
| Authorized Official Name and Position | Elonzo Duncan Msw (SOCIAL WORKER) |
| Authorized Official Contact | 8102308617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elonzo Duncan Inc. 3136 Stevenson St Flint MI 48504-3247 Ph: (810) 239-8617 | Elonzo Duncan Inc. G3500 Flushing Rd Suite 112e Flint MI 48504-4235 Ph: (810) 239-8617 |
| NPI Number | 1366771461 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 03/23/2010 |
| Medicare PECOS PAC ID | 5698801827 |
|---|---|
| Medicare Enrollment ID | O20100326001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366771461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801015593 (Michigan) | Primary |
| Provider Name | Elonzo Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518024173 PECOS PAC ID: 0244366474 Enrollment ID: I20100326000996 |
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