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NPI Code Detail

MEDICARE: MRS. SHARNITA TRICE PAIGE BS, SST

MEDICARE: MRS. SHARNITA TRICE PAIGE BS, SST
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
1104100000XSocial Worker6803087002MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588155659
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARNITA TRICE PAIGE BS, SST
Provider Business Mailing Address
First Line : 570 KIRTS BLVD STE 231
Second Line :
City : TROY
State : MI
Zip : 48084-4156
Country : US
Telephone Number : 248-953-6786
Fax Number :
Provider Business Practice Location Address
First Line : 570 KIRTS BLVD STE 231
Second Line :
City : TROY
State : MI
Zip : 48084-4156
Country : US
Telephone Number : 248-953-6786
Fax Number : 248-824-7349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2018
Last Update Date : 05/24/2018

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Directions to “ MRS. SHARNITA TRICE PAIGE BS, SST” Practice Location

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