Provider Demographics
NPI:1679855670
Name:NEIGHBORHOOD DOCS,PLLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD DOCS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAHEB
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROFAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-670-0088
Mailing Address - Street 1:15400 MICHIGAN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3491
Mailing Address - Country:US
Mailing Address - Phone:313-584-3359
Mailing Address - Fax:313-584-1729
Practice Address - Street 1:15400 MICHIGAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3491
Practice Address - Country:US
Practice Address - Phone:313-584-3359
Practice Address - Fax:313-584-1729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
D6314Y174V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174V00000XOther Service ProvidersClinical EthicistGroup - Single Specialty