1376613653 NPI number — WCE, LLC

Table of content: (NPI 1376613653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376613653 NPI number — WCE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WCE, LLC
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:
6
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:
1376613653
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
660 WOODWARD
Provider Second Line Business Mailing Address:
SUITE 1525
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-366-5100
Provider Business Mailing Address Fax Number:
313-366-2246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
660 WOODWARD
Provider Second Line Business Practice Location Address:
SUITE 1525
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-366-5100
Provider Business Practice Location Address Fax Number:
313-366-2246
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EVANGELISTA
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
313-366-5100

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1376613653 . This is a "NPI BILLING NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com