NPI Code Details Logo

NPI 1649144684

NPI 1649144684 : THE KNEE ARTHRITIS INSTITUTE PLLC : CLINTON TOWNSHIP, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649144684
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE KNEE ARTHRITIS INSTITUTE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/02/2025
-----------------------------------------------------
    Last Update Date     |    10/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    35455 GARFIELD RD STE 100 
-----------------------------------------------------
    City                 |    CLINTON TOWNSHIP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48035-2500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-600-5633
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    35455 GARFIELD RD STE 100 
-----------------------------------------------------
    City                 |    CLINTON TOWNSHIP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48035-2500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. EDDIE  EL-YUSSIF 
-----------------------------------------------------
    Credential           |    D.O.
-----------------------------------------------------
    Telephone            |    586-600-5633
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    133NN1002X
-----------------------------------------------------
    Taxonomy Name        |    Nutrition Education Nutritionist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.