Provider Demographics
NPI:1942600614
Name:AUBURN NEUROLOGY AND SLEEP ASSOCIATES PC
Entity Type:Organization
Organization Name:AUBURN NEUROLOGY AND SLEEP ASSOCIATES PC
Other - Org Name:TRACEY MORSON MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-574-4035
Mailing Address - Street 1:46813 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5225
Mailing Address - Country:US
Mailing Address - Phone:586-580-2259
Mailing Address - Fax:586-580-2267
Practice Address - Street 1:46813 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5225
Practice Address - Country:US
Practice Address - Phone:586-580-2259
Practice Address - Fax:586-580-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITM067838174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1952361693Medicaid
MIM16540028Medicare PIN
MIH39859Medicare UPIN