Provider Demographics
NPI:1184433211
Name:MYPOPHEALTH.ORG
Entity type:Organization
Organization Name:MYPOPHEALTH.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHADD
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:CORWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-682-6277
Mailing Address - Street 1:43055 STRAND DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2741
Mailing Address - Country:US
Mailing Address - Phone:313-682-6277
Mailing Address - Fax:
Practice Address - Street 1:43055 STRAND DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2741
Practice Address - Country:US
Practice Address - Phone:313-682-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage