Healthcare Provider Details
I. General information
NPI: 1740899194
Provider Name (Legal Business Name): ASCENSION MICHIGAN EMPLOYER SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2020
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 CONNER ST STE 2818
DETROIT MI
48213-3448
US
IV. Provider business mailing address
2800 LIVERNOIS RD STE 500
TROY MI
48083-1219
US
V. Phone/Fax
- Phone: 248-680-8121
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
STARKEL
Title or Position: SUPERVISOR
Credential:
Phone: 248-680-8121