Healthcare Provider Details

I. General information

NPI: 1376343954
Provider Name (Legal Business Name): BARAA HOJEIJ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 N MIDDLEBELT RD STE 15
WESTLAND MI
48185-1808
US

IV. Provider business mailing address

29520 HATHAWAY ST
LIVONIA MI
48150-3087
US

V. Phone/Fax

Practice location:
  • Phone: 313-466-7599
  • Fax:
Mailing address:
  • Phone: 313-663-4106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501016065
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: