| E2 | |
|
29201 Telegraph Rd Ste 240 Southfield MI 48034-7645 | |
| (482) 728-4727 | |
| (248) 728-4729 |
| Full Name | E2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 29201 Telegraph Rd Ste 240, Southfield, Michigan |
| Authorized Official Name and Position | Christina M Houston (PRESIDENT) |
| Authorized Official Contact | 4827284727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E2 23077 Greenfield Rd Suite 282 Southfield MI 48075-3709 Ph: (248) 552-9556 | E2 29201 Telegraph Rd Ste 240 Southfield MI 48034-7645 Ph: (482) 728-4727 |
| NPI Number | 1730246737 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Medicare PECOS PAC ID | 0446357404 |
|---|---|
| Medicare Enrollment ID | O20070525000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730246737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Primary |
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