| Organization Name: | CHOICE ONE MIHP, INC. |
| NPI Number: | 1073995601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIRAJ SAYED HAQ (CEO) |
| Mailing Address: | 8750 Telegraph Rd Suite 306 Taylor |
| State: | MI US |
| Postal Code: | 481802397 |
| Phone Number: | 3132955911 |
| Fax Number: | 3132955920 |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |