Provider Demographics
NPI:1891792628
Name:ASSOCIATES IN NEUROLOGY, PC
Entity Type:Organization
Organization Name:ASSOCIATES IN NEUROLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ELKISS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-478-5512
Mailing Address - Street 1:27555 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5011
Mailing Address - Country:US
Mailing Address - Phone:248-478-5512
Mailing Address - Fax:
Practice Address - Street 1:27555 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-5011
Practice Address - Country:US
Practice Address - Phone:248-478-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI70-0-F3-1051-0OtherBCBS COMMON PROVIDER #
MI0M06400Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER