| Advanced Care Clinic Pc | |
|
25614 Ford Rd Dearborn Heights MI 48127-3024 | |
| (313) 791-8000 | |
| (313) 791-8002 |
| Full Name | Advanced Care Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25614 Ford Rd, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Nidal Jboor (OWNER) |
| Authorized Official Contact | 3137918000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Clinic Pc 25614 Ford Rd Dearborn Heights MI 48127-3024 Ph: (313) 791-8000 | Advanced Care Clinic Pc 25614 Ford Rd Dearborn Heights MI 48127-3024 Ph: (313) 791-8000 |
| NPI Number | 1396053682 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 12/24/2012 |
| Medicare PECOS PAC ID | 2264615012 |
|---|---|
| Medicare Enrollment ID | O20110331000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396053682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301082688 (Michigan) | Primary |
| Provider Name | Nidal Ji Jboor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679543425 PECOS PAC ID: 2567365133 Enrollment ID: I20040130000310 |
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