Healthcare Provider Details

I. General information

NPI: 1184960064
Provider Name (Legal Business Name): HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25900 GREENFIELD RD STE 140
OAK PARK MI
48237-1267
US

IV. Provider business mailing address

2000 TOWN CTR SUITE 650
SOUTHFIELD MI
48075-1135
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-5851
  • Fax: 248-569-5590
Mailing address:
  • Phone: 248-430-5350
  • Fax: 248-352-5576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALERIE THIMM
Title or Position: PRESIDENT
Credential:
Phone: 248-440-7117