| Patricia L Vulpe, Llc | |
|
415 S West St Suite 150 Royal Oak MI 48067-2521 | |
| (248) 320-1593 | |
| (248) 546-8070 |
| Full Name | Patricia L Vulpe, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 415 S West St, Royal Oak, Michigan |
| Authorized Official Name and Position | Patricia L Vulpe (SOLE PROPRIETER) |
| Authorized Official Contact | 2483201593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia L Vulpe, Llc 415 S West St Suite 150 Royal Oak MI 48067-2521 Ph: (248) 320-1593 | Patricia L Vulpe, Llc 415 S West St Suite 150 Royal Oak MI 48067-2521 Ph: (248) 320-1593 |
| NPI Number | 1356705834 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 9638477151 |
|---|---|
| Medicare Enrollment ID | O20160418001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356705834 | NPI | - | NPPES |
| 6801013046 | Other | MI | STATE LICENSE |
| 0961160 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801013046 (Michigan) | Primary |
| Provider Name | Patricia L Vulpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558470666 PECOS PAC ID: 6002845971 Enrollment ID: I20050810001131 |
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