Healthcare Provider Details

I. General information

NPI: 1629762166
Provider Name (Legal Business Name): E&S WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25010 FORD RD
DEARBORN HEIGHTS MI
48127-3114
US

IV. Provider business mailing address

46352 PINEHURST DR
NORTHVILLE MI
48168-8492
US

V. Phone/Fax

Practice location:
  • Phone: 734-249-8173
  • Fax: 734-249-8173
Mailing address:
  • Phone: 313-615-9891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: DR. REEM K SAMHAT
Title or Position: SOLE OWNER
Credential: DC
Phone: 313-615-9891