Healthcare Provider Details
I. General information
NPI: 1588055701
Provider Name (Legal Business Name): NEXTSTEP BILLING AND PAYROLL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2015
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3201 UNIVERSITY DR SUITE 250
AUBURN HILLS MI
48326-2394
US
IV. Provider business mailing address
3201 UNIVERSITY DR SUITE 250
AUBURN HILLS MI
48326-2394
US
V. Phone/Fax
- Phone: 248-309-3402
- Fax:
- Phone: 248-309-3402
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DARRIN
HANNA
Title or Position: CTO
Credential: PH.D.
Phone: 248-309-3402