Provider Demographics
NPI:1659698819
Name:BIRMINGHAM URGENT CARE, P.C.
Entity Type:Organization
Organization Name:BIRMINGHAM URGENT CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-433-8888
Mailing Address - Street 1:200 ELM ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6322
Mailing Address - Country:US
Mailing Address - Phone:248-433-8888
Mailing Address - Fax:248-433-8151
Practice Address - Street 1:200 ELM ST STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6322
Practice Address - Country:US
Practice Address - Phone:248-433-8888
Practice Address - Fax:248-433-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty