Provider Demographics
NPI:1255355939
Name:QUEST HEALTH SYSTEMS VII, PLLC
Entity type:Organization
Organization Name:QUEST HEALTH SYSTEMS VII, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:COGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-471-5554
Mailing Address - Street 1:26751 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4532
Mailing Address - Country:US
Mailing Address - Phone:248-552-0510
Mailing Address - Fax:
Practice Address - Street 1:26751 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-4532
Practice Address - Country:US
Practice Address - Phone:248-552-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0F32608OtherBCBS
MI0P18000Medicare ID - Type Unspecified