Healthcare Provider Details

I. General information

NPI: 1295256220
Provider Name (Legal Business Name): PDN BILLING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3165 OXFORD WEST
AUBURN HILLS MI
48326
US

IV. Provider business mailing address

3165 OXFORD W
AUBURN HILLS MI
48326-3966
US

V. Phone/Fax

Practice location:
  • Phone: 248-736-8677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TONI NYKANEN
Title or Position: BILLING AGENT
Credential:
Phone: 248-736-8677