1790957918 NPI number — MARNEE M SAUNDERS-FURMAN LMT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790957918 NPI number — MARNEE M SAUNDERS-FURMAN LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAUNDERS-FURMAN
Provider First Name:
MARNEE
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMT
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:
1790957918
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 133
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHELBY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49455-0133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-861-7679
Provider Business Mailing Address Fax Number:
231-873-3577

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1912 S 88TH AVE
Provider Second Line Business Practice Location Address:
PO BOX 133
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-742-2009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2008

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: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5154 . This is a "MI CERTIFICATION #" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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