Healthcare Provider Details

I. General information

NPI: 1528922481
Provider Name (Legal Business Name): GREENTECHCONCEPTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 PINE CREEK CT
WATERFORD MI
48327-1586
US

IV. Provider business mailing address

385 PINE CREEK CT
WATERFORD MI
48327-1586
US

V. Phone/Fax

Practice location:
  • Phone: 248-867-9957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH HUTCHENS
Title or Position: INTERN
Credential:
Phone: 248-241-1522