Healthcare Provider Details

I. General information

NPI: 1225041213
Provider Name (Legal Business Name): SUMMIT HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27175 HAGGERTY RD
NOVI MI
48377-3626
US

IV. Provider business mailing address

27175 HAGGERTY RD
NOVI MI
48377-3626
US

V. Phone/Fax

Practice location:
  • Phone: 248-799-8303
  • Fax: 248-799-8927
Mailing address:
  • Phone: 248-799-8303
  • Fax: 248-799-8927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberNONE
License Number StateMI

VIII. Authorized Official

Name: MR. RICHARD ALDEN PENINGTON
Title or Position: PRESIDENT
Credential:
Phone: 248-799-8303