1588890529 NPI number — MR. JOHN FRANCIS HARVEY M.A.L.P.C.

Table of content: MR. JOHN FRANCIS HARVEY M.A.L.P.C. (NPI 1588890529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588890529 NPI number — MR. JOHN FRANCIS HARVEY M.A.L.P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARVEY
Provider First Name:
JOHN
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.A.L.P.C.
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:
1588890529
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2555 CROOKS ROAD
Provider Second Line Business Mailing Address:
SUITE 130
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-822-7080
Provider Business Mailing Address Fax Number:
248-822-7080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2555 CROOKS RD
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48084-4783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-822-7080
Provider Business Practice Location Address Fax Number:
248-822-7080
Provider Enumeration Date:
06/04/2009

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: 101YP2500X , with the licence number:  H6401006289 , 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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