Provider Demographics
NPI:1467158642
Name:EXPRESS HEALTH URGENT CARE OF DEARBORN PLLC
Entity Type:Organization
Organization Name:EXPRESS HEALTH URGENT CARE OF DEARBORN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-550-4356
Mailing Address - Street 1:1022 N TELEGRAPH RD # 2
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1622
Mailing Address - Country:US
Mailing Address - Phone:313-429-3600
Mailing Address - Fax:313-543-3366
Practice Address - Street 1:1022 N TELEGRAPH RD # 2
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1622
Practice Address - Country:US
Practice Address - Phone:313-429-3600
Practice Address - Fax:313-543-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care