Provider Demographics
NPI:1083896443
Name:JOSEPH E SILVER DPM PC
Entity Type:Organization
Organization Name:JOSEPH E SILVER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:586-573-4880
Mailing Address - Street 1:8306 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2759
Mailing Address - Country:US
Mailing Address - Phone:586-573-4880
Mailing Address - Fax:586-573-2684
Practice Address - Street 1:8306 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2759
Practice Address - Country:US
Practice Address - Phone:586-573-4880
Practice Address - Fax:586-573-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4766230001Medicare NSC
MI5505392481Medicare PIN