Healthcare Provider Details

I. General information

NPI: 1215867783
Provider Name (Legal Business Name): JAMES EDWARD GARBETT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8623 N WAYNE RD STE 310
WESTLAND MI
48185-1137
US

IV. Provider business mailing address

19132 MERRIMAN RD # 19132
LIVONIA MI
48152-1755
US

V. Phone/Fax

Practice location:
  • Phone: 734-425-0636
  • Fax:
Mailing address:
  • Phone: 801-903-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: