Provider Demographics
NPI:1598546608
Name:COMPONE ADMINISTRATORS, INC
Entity Type:Organization
Organization Name:COMPONE ADMINISTRATORS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLIENT OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-481-5178
Mailing Address - Street 1:39500 HIGH POINTE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5517
Mailing Address - Country:US
Mailing Address - Phone:248-348-8200
Mailing Address - Fax:
Practice Address - Street 1:39500 HIGH POINTE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5517
Practice Address - Country:US
Practice Address - Phone:248-348-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization