Healthcare Provider Details

I. General information

NPI: 1851083596
Provider Name (Legal Business Name): ZEINA BJEIJEH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1637 MONROE ST
DEARBORN MI
48124-2912
US

IV. Provider business mailing address

PO BOX 604
DEARBORN MI
48121-0604
US

V. Phone/Fax

Practice location:
  • Phone: 313-757-0157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: