1831299700 NPI number — RASKIN CLINICAL ASSOCIATES, P.C.

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 1831299700 NPI number — RASKIN CLINICAL ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RASKIN CLINICAL ASSOCIATES, P.C.
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:
1831299700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35600 CENTRAL CITY PKWY STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTLAND
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48185-2046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-837-5101
Provider Business Mailing Address Fax Number:
734-762-5006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35600 CENTRAL CITY PKWY STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTLAND
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48185-2046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-837-5101
Provider Business Practice Location Address Fax Number:
734-762-5006
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RASKIN
Authorized Official First Name:
MILTON
Authorized Official Middle Name:
ARNOLD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-613-3660

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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