Healthcare Provider Details

I. General information

NPI: 1306042981
Provider Name (Legal Business Name): BMS INTEGRATED HEALTH, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37899 W 12 MILE RD BUILDING C-110
FARMINGTON HILLS MI
48331-3048
US

IV. Provider business mailing address

2955 ROLLING GREEN CT
MILFORD MI
48380-4468
US

V. Phone/Fax

Practice location:
  • Phone: 248-994-9090
  • Fax: 248-994-9097
Mailing address:
  • Phone: 248-320-6539
  • Fax: 248-994-9097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number5101014262
License Number StateMI

VIII. Authorized Official

Name: DR. BARBARA A ZAJDEL
Title or Position: SOLE PROPRIETOR
Credential: D.O.
Phone: 248-320-6539