Provider Demographics
NPI:1952472946
Name:NAIEL SALAMEH D.C. P.C.
Entity Type:Organization
Organization Name:NAIEL SALAMEH D.C. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-962-2402
Mailing Address - Street 1:333 E JEFFERSON AVE STE M298
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-4352
Mailing Address - Country:US
Mailing Address - Phone:313-962-2402
Mailing Address - Fax:313-962-2412
Practice Address - Street 1:333 E JEFFERSON AVE STE M298
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-4352
Practice Address - Country:US
Practice Address - Phone:313-962-2402
Practice Address - Fax:313-962-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI660661OtherM CARE
MI95 0H215900OtherBLUE CROSS BLUE SHIELD
MIU97922OtherHAP
MI14-465032Medicaid
MIU97922OtherHAP
MI14-465032Medicaid
MI660661OtherM CARE
MIU97922Medicare UPIN