Healthcare Provider Details

I. General information

NPI: 1902157431
Provider Name (Legal Business Name): OPERATION CAN DO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14557 ARTESIAN ST
DETROIT MI
48223-2226
US

IV. Provider business mailing address

14557 ARTESIAN ST
DETROIT MI
48223-2226
US

V. Phone/Fax

Practice location:
  • Phone: 248-469-8201
  • Fax:
Mailing address:
  • Phone: 248-469-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JAMES E. DINGLE JR.
Title or Position: OWNER
Credential:
Phone: 248-943-0112