1063571230 NPI number — MARIA CRUMES MD

Table of content: JENNIFER ANN MARTIN MSW (NPI 1407220999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063571230 NPI number — MARIA CRUMES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CRUMES
Provider First Name:
MARIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1063571230
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NOVI
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48376-1500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-324-0700
Provider Business Mailing Address Fax Number:
248-324-1477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24681 NORTHWESTERN HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48075-2305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-352-2000
Provider Business Practice Location Address Fax Number:
248-324-1477
Provider Enumeration Date:
12/06/2006

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: 2085R0202X , with the licence number:  4301047022 , 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: 4937527 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4937536 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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