Organization Name: | ACCELERATED CARE OF MICHIGAN |
NPI Number: | 1265640700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND WATTS (PRESIDENT) |
Mailing Address: | 1003 Woodside Ave Essexville |
State: | MI US |
Postal Code: | 487321234 |
Phone Number: | 9898927722 |
Fax Number: | 9898927455 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 02/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ophthalmic Assistant |
Taxonomy Definition: |