| James Karagon Pc | |
|
555 Brush St 2406 Detroit MI 48226-4348 | |
| (313) 962-4075 | |
| Not Available |
| Full Name | James Karagon Pc |
|---|---|
| Speciality | Social Worker |
| Location | 555 Brush St, Detroit, Michigan |
| Authorized Official Name and Position | James J Karagon (PRESIDENT) |
| Authorized Official Contact | 3139624075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Karagon Pc Po Box 441675 Detroit MI 48244-1675 Ph: (313) 962-4075 | James Karagon Pc 555 Brush St 2406 Detroit MI 48226-4348 Ph: (313) 962-4075 |
| NPI Number | 1851494439 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 10/08/2012 |
| Medicare PECOS PAC ID | 3274566310 |
|---|---|
| Medicare Enrollment ID | O20050919000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851494439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801007876 (Michigan) | Primary |
| Provider Name | James J Karagon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831101930 PECOS PAC ID: 7416853320 Enrollment ID: I20031211000053 |
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