Provider Demographics
NPI:1710924170
Name:DIGESTIVE HEALTH CONSULTANTS, PLC
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH CONSULTANTS, PLC
Other - Org Name:DIGESTIVE HEALTH ASSOCIATES, PLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL PROJECTS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:CMRS
Authorized Official - Phone:248-488-7834
Mailing Address - Street 1:30055 NORTHWESTERN HIGHWAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-985-5000
Mailing Address - Fax:248-538-3936
Practice Address - Street 1:30055 NORTHWESTERN HIGWAY
Practice Address - Street 2:SUITE 250
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-985-5000
Practice Address - Fax:248-538-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI100F37420OtherBCBS
MI0M69450Medicare PIN