Healthcare Provider Details

I. General information

NPI: 1225685654
Provider Name (Legal Business Name): FASTER CARE MICHIGAN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5085 W BRISTOL RD
FLINT MI
48507-2922
US

IV. Provider business mailing address

5085 W BRISTOL RD
FLINT MI
48507-2922
US

V. Phone/Fax

Practice location:
  • Phone: 810-243-5085
  • Fax:
Mailing address:
  • Phone: 810-243-5085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC JACOB GREENBERG
Title or Position: OWNER
Credential:
Phone: 810-243-5085