Healthcare Provider Details

I. General information

NPI: 1467781658
Provider Name (Legal Business Name): DMC BILLING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23822 FORD RD
DEARBORN HEIGHTS MI
48127
US

IV. Provider business mailing address

PO BOX 673671
DETROIT MI
48267-3671
US

V. Phone/Fax

Practice location:
  • Phone: 810-720-5715
  • Fax:
Mailing address:
  • Phone: 810-720-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM RYAN
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 810-720-5715