| Regina Simone Do Pc | |
|
42000 6 Mile Rd Suite 201 Northville MI 48168-4336 | |
| (248) 735-9100 | |
| (248) 735-9101 |
| Full Name | Regina Simone Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 42000 6 Mile Rd, Northville, Michigan |
| Authorized Official Name and Position | Regina Simone (PRESIDENT) |
| Authorized Official Contact | 2487359100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Simone Do Pc 42000 6 Mile Rd Suite 201 Northville MI 48168-4336 Ph: (248) 735-9100 | Regina Simone Do Pc 42000 6 Mile Rd Suite 201 Northville MI 48168-4336 Ph: (248) 735-9100 |
| NPI Number | 1376514257 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 0244252609 |
|---|---|
| Medicare Enrollment ID | O20051228000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376514257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Regina Simone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992775969 PECOS PAC ID: 9234151697 Enrollment ID: I20051229000266 |
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