1114129897 NPI number — JOSEPH P LAJOIE DO PLLC

Table of content: (NPI 1114129897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114129897 NPI number — JOSEPH P LAJOIE DO PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH P LAJOIE DO PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1114129897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 80766
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48308-0766
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-342-1000
Provider Business Mailing Address Fax Number:
810-342-1591

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37771 SCHOENHERR RD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
STERLING HEIGHTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48312-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-268-2113
Provider Business Practice Location Address Fax Number:
586-268-2169
Provider Enumeration Date:
06/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LAJOIE
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PHYSICIAN OWNER
Authorized Official Telephone Number:
586-268-2113

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  5101013538 , 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)





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