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NPI Code Detail

MEDICARE: JEANETTE FARIA BS, RRT, RPFT, IHP2

MEDICARE:   JEANETTE  FARIA  BS, RRT, RPFT, IHP2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227900000XRegistered Respiratory Therapist4401004632MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14401004632OTHERMIREGISTERED RESPIRATORY THERAPIST

General Provider Information

NPI Number : 1053056382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE FARIA BS, RRT, RPFT, IHP2
Provider Business Mailing Address
First Line : 1047 CHESTER ST
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-4105
Country : US
Telephone Number : 248-686-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1047 CHESTER ST
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-4105
Country : US
Telephone Number : 248-686-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 05/02/2022

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Directions to “ JEANETTE FARIA BS, RRT, RPFT, IHP2” Practice Location

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