Provider Demographics
NPI:1356651566
Name:ADVANCED RHEUMATOLOGY, PC
Entity Type:Organization
Organization Name:ADVANCED RHEUMATOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SALLIOTTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:517-908-3606
Mailing Address - Street 1:4202 COLLINS RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-5894
Mailing Address - Country:US
Mailing Address - Phone:517-908-3600
Mailing Address - Fax:517-908-3601
Practice Address - Street 1:4202 COLLINS RD
Practice Address - Street 2:SUITE 115
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-5894
Practice Address - Country:US
Practice Address - Phone:517-908-3600
Practice Address - Fax:517-908-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty