Provider Demographics
NPI:1275209041
Name:COMPREHENSIVE VISITING PROVIDERS PC
Entity Type:Organization
Organization Name:COMPREHENSIVE VISITING PROVIDERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-985-3413
Mailing Address - Street 1:26776 W 12 MILE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7807
Mailing Address - Country:US
Mailing Address - Phone:248-985-3413
Mailing Address - Fax:248-985-3812
Practice Address - Street 1:26776 W 12 MILE RD STE 102
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7807
Practice Address - Country:US
Practice Address - Phone:248-985-3413
Practice Address - Fax:248-985-3812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI284-1972OtherCORPORATE