Provider Demographics
NPI:1770240848
Name:PILENZA, CHRISTOPHER ANGELO
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ANGELO
Last Name:PILENZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25151 DEQUINDRE RD LOT 50
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-4220
Mailing Address - Country:US
Mailing Address - Phone:989-251-3145
Mailing Address - Fax:
Practice Address - Street 1:25151 DEQUINDRE RD LOT 50
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-4220
Practice Address - Country:US
Practice Address - Phone:989-251-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty