Provider Demographics
NPI:1114216504
Name:CAPITAL ADMINISTRATIVE MANAGEMENT SOLUTIONS LLC
Entity Type:Organization
Organization Name:CAPITAL ADMINISTRATIVE MANAGEMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERIATT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-688-6490
Mailing Address - Street 1:PO BOX 251714
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22100 GREENFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2550
Practice Address - Country:US
Practice Address - Phone:248-688-6490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty