DEARBORN NURO CLINIC PC – NPI #1568638088
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

DEARBORN NURO CLINIC PC is a provider located in DEARBORN, MI. NPPES has assigned the NPI number 1568638088 to DEARBORN NURO CLINIC PC on May 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEARBORN NURO CLINIC PC below.

NPI Profile for
DEARBORN NURO CLINIC PC

NPI Number
1568638088
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEARBORN NURO CLINIC PC
Primary location
25325 FORD RD
SUITE 100
DEARBORN, MI 48128-1086
Phone: (313) 724-0584 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BASSAM MAAZ
PRESIDENT
Phone: (313) 724-9584
Updated
Identifiers

Identifiers for DEARBORN NURO CLINIC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHEILD OF MIMI1308248992
MEDICAIDMI4579561
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
MI 4301053885

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.