Provider Demographics
NPI:1306042981
Name:BMS INTEGRATED HEALTH, PLC
Entity Type:Organization
Organization Name:BMS INTEGRATED HEALTH, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAJDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-320-6539
Mailing Address - Street 1:2955 ROLLING GREEN CT
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48380-4468
Mailing Address - Country:US
Mailing Address - Phone:248-320-6539
Mailing Address - Fax:248-994-9097
Practice Address - Street 1:37899 W 12 MILE RD
Practice Address - Street 2:BUILDING C-110
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3048
Practice Address - Country:US
Practice Address - Phone:248-994-9090
Practice Address - Fax:248-994-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014262204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN96400001Medicare ID - Type Unspecified