Provider Demographics
NPI:1275905432
Name:SYNAPSES NEUROWATCH CORP
Entity Type:Organization
Organization Name:SYNAPSES NEUROWATCH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-766-3783
Mailing Address - Street 1:28345 BECK RD
Mailing Address - Street 2:STE 103
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-4733
Mailing Address - Country:US
Mailing Address - Phone:866-766-3783
Mailing Address - Fax:248-773-7703
Practice Address - Street 1:111 BOLAND STREET
Practice Address - Street 2:STE 211
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-1268
Practice Address - Country:US
Practice Address - Phone:866-766-3783
Practice Address - Fax:248-773-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty