| J&e Pickens Family,llc | |
|
39245 Nottingham St Westland MI 48186-3729 | |
| (734) 992-7212 | |
| (734) 629-4773 |
| Full Name | J&e Pickens Family,llc |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 39245 Nottingham St, Westland, Michigan |
| Authorized Official Name and Position | Michael D Pickens (OWNER) |
| Authorized Official Contact | 7349927212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J&e Pickens Family,llc 39245 Nottingham St Westland MI 48186-3729 Ph: (734) 992-7212 | J&e Pickens Family,llc 39245 Nottingham St Westland MI 48186-3729 Ph: (734) 992-7212 |
| NPI Number | 1497294805 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497294805 | NPI | - | NPPES |
| 1497294805. | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Primary |
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