1437220100 NPI number — MR. ARNOLD A SLOMINSKI PT

Table of content: MR. ARNOLD A SLOMINSKI PT (NPI 1437220100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437220100 NPI number — MR. ARNOLD A SLOMINSKI PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SLOMINSKI
Provider First Name:
ARNOLD
Provider Middle Name:
A
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PT
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:
1437220100
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
54714 LAUREL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MACOMB
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-786-7574
Provider Business Mailing Address Fax Number:
586-786-1308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28200 JOHN R RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON HEIGHTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48071-2814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-399-1060
Provider Business Practice Location Address Fax Number:
248-399-3848
Provider Enumeration Date:
11/13/2006

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: 225100000X , with the licence number:  005827 , 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)

  • Identifier: 65OF357640 . This is a "BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com