1598767022 NPI number — MICHAEL SCHEY DPM

Table of content: MICHAEL SCHEY DPM (NPI 1598767022)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598767022 NPI number — MICHAEL SCHEY DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEY
Provider First Name:
MICHAEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598767022
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29433 RYAN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48092-2203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-574-0500
Provider Business Mailing Address Fax Number:
586-574-2694

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29433 RYAN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48092-2203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-574-0500
Provider Business Practice Location Address Fax Number:
586-574-2694
Provider Enumeration Date:
08/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  MS000843 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4949635 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2613987 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 480F330020 . This is a "BSBSM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6087740001 . This is a "DME" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4865123 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 480E011810 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4858263 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 480F335300 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 480Q24567 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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