Healthcare Provider Details

I. General information

NPI: 1598725509
Provider Name (Legal Business Name): INSYNC FAMILY HEALTH PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 FARMINGTON RD SUITE 108
LIVONIA MI
48154-5430
US

IV. Provider business mailing address

14700 FARMINGTON RD SUITE 108
LIVONIA MI
48154-5430
US

V. Phone/Fax

Practice location:
  • Phone: 734-425-0207
  • Fax: 734-425-0610
Mailing address:
  • Phone: 734-425-0207
  • Fax: 734-425-0610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number5101010572
License Number StateMI

VIII. Authorized Official

Name: PATRICIA LAMERATO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 734-425-0207