Joel Wellness Clinic Pllc | |
15144 Levan Rd Ste 44 Livonia MI 48154-5027 | |
(734) 356-3303 | |
(734) 356-3233 |
Full Name | Joel Wellness Clinic Pllc |
---|---|
Speciality | Internal Medicine |
Location | 15144 Levan Rd Ste 44, Livonia, Michigan |
Authorized Official Name and Position | Binju Joel (PROVIDER) |
Authorized Official Contact | 7348830356 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joel Wellness Clinic Pllc 15144 Levan Rd Ste 44 Livonia MI 48154-5027 Ph: (734) 356-3303 | Joel Wellness Clinic Pllc 15144 Levan Rd Ste 44 Livonia MI 48154-5027 Ph: (734) 356-3303 |
NPI Number | 1245807825 |
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Provider Enumeration Date | 06/10/2021 |
Last Update Date | 06/10/2021 |
Medicare PECOS PAC ID | 8921408436 |
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Medicare Enrollment ID | O20210621000576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245807825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Binju Joel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699817833 PECOS PAC ID: 1759484264 Enrollment ID: I20070321000085 |
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