Provider Demographics
NPI:1881897346
Name:ASSOCIATES IN WOMENS CARE PC
Entity type:Organization
Organization Name:ASSOCIATES IN WOMENS CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-290-0390
Mailing Address - Street 1:31100 TELEGRAPH RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4363
Mailing Address - Country:US
Mailing Address - Phone:248-290-0390
Mailing Address - Fax:248-290-0359
Practice Address - Street 1:31100 TELEGRAPH RD
Practice Address - Street 2:SUITE 240
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4363
Practice Address - Country:US
Practice Address - Phone:248-290-0390
Practice Address - Fax:248-290-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISH054409207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4197245Medicaid
G07578Medicare UPIN
MI0N90690Medicare PIN
MION10610Medicare ID - Type Unspecified