Provider Demographics
NPI:1326421439
Name:ALTERNATIVE MEDICINE SOLUTIONS
Entity Type:Organization
Organization Name:ALTERNATIVE MEDICINE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:REA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-948-5100
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:NORTH STREET
Mailing Address - State:MI
Mailing Address - Zip Code:48049
Mailing Address - Country:US
Mailing Address - Phone:586-948-5100
Mailing Address - Fax:
Practice Address - Street 1:30500 TWENTY THREE MILE ROAD
Practice Address - Street 2:
Practice Address - City:NEW BALTIMORE
Practice Address - State:MI
Practice Address - Zip Code:48047
Practice Address - Country:US
Practice Address - Phone:586-948-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty