Provider Demographics
NPI:1295812337
Name:WAYNE COUNTY TREASURER PAYROLL
Entity type:Organization
Organization Name:WAYNE COUNTY TREASURER PAYROLL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:VEERINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:TANEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS; MPH
Authorized Official - Phone:734-727-7045
Mailing Address - Street 1:33030 VAN BORN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-2453
Mailing Address - Country:US
Mailing Address - Phone:734-727-7045
Mailing Address - Fax:734-737-7043
Practice Address - Street 1:33030 VAN BORN RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-2453
Practice Address - Country:US
Practice Address - Phone:734-727-7045
Practice Address - Fax:734-737-7043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARTER COUNTY OF WAYNE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-01
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43-01-065325251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4722372-77Medicaid
MI4923236-77Medicaid
MI4923245-77Medicaid
MI4924510-77Medicaid
MI1849770-77Medicaid
MI472434-77Medicaid
MI4722416-77Medicaid
MI5101098-23Medicaid
MI4722425-77Medicaid
MI4736510-77Medicaid
MI4924500-77Medicaid
MI5101060-23Medicaid
MI5101113-23Medicaid