Provider Demographics
NPI:1790059525
Name:PICK ME UP NOW, LLC
Entity Type:Organization
Organization Name:PICK ME UP NOW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSHTAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-NAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-254-6446
Mailing Address - Street 1:32778 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-1112
Mailing Address - Country:US
Mailing Address - Phone:586-254-6446
Mailing Address - Fax:
Practice Address - Street 1:32778 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-1112
Practice Address - Country:US
Practice Address - Phone:586-254-6446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID6695Q302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization