Healthcare Provider Details

I. General information

NPI: 1467728253
Provider Name (Legal Business Name): MRS. FAHIMIE FAY MERHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14716 W WARREN AVE
DEARBORN MI
48126-1347
US

IV. Provider business mailing address

21569 GARRISON ST
DEARBORN MI
48124-2301
US

V. Phone/Fax

Practice location:
  • Phone: 313-207-2347
  • Fax:
Mailing address:
  • Phone: 313-207-2347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number45-2528256
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: