Provider Demographics
NPI:1982301115
Name:SOUND HEALTH
Entity Type:Organization
Organization Name:SOUND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:QUE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FOUNTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-303-0544
Mailing Address - Street 1:26206 W 12 MILE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8501
Mailing Address - Country:US
Mailing Address - Phone:248-440-6090
Mailing Address - Fax:248-440-6094
Practice Address - Street 1:26206 W 12 MILE RD STE 302
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8501
Practice Address - Country:US
Practice Address - Phone:248-440-6090
Practice Address - Fax:248-440-6094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty