GROOMING ARTS LOUNGE AND GALLERY (NPI# 1124685789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124685789 |
| Entity Type | Organization |
| Organization Name | GROOMING ARTS LOUNGE AND GALLERY |
| Practice Address |
19520 Dorset St Southfield MI 48075-7112 |
| Practice Telephone | 3133992064 |
| Mailing Telephone | 3133992064 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | MR. SAZUAN RAFAEL JUDKINS (OWNER) |
| Authorized Official Telephone | 3133992064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
19520 DORSET ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1376929562 | Michigan Home Physician Service, Pllc | Specialist | 26645 W 12 Mile Road, Suite 109, Southfield, MI 48034-7811 | 2015-08-11 |
| 1366831273 | Destiny Peterson | Specialist | 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943 | 2015-01-15 |
| 1831517036 | Naomi Darden | Specialist | 25711 Southfield Rd, 206, Southfield, MI 48075-1875 | 2014-04-03 |
| 1295039899 | Wellness Center of Michigan LLC | Specialist | 17336 W 12 Mile Rd Ste 102, Southfield, MI 48076-2113 | 2010-12-23 |
| 1710155627 | Milton Foss Simmons | Specialist | 18658 George Washington Dr, Southfield, MI 48075-2552 | 2008-02-13 |
| 1770632945 | Flora Ann Dean | Specialist | 17330 Northland Park Court, Suite 201, Southfield, MI 48075-4318 | 2007-01-09 |
| 1245324789 | Cristina Torres | Specialist | 24500 Northwestern Highway, Southfield, MI 48075 | 2006-10-02 |
| 1689766065 | Dawit Teklehaimanot | Specialist | Physical Medicine and Rehabilation and Pain Consultant, 17117 West Nine Mile Road Suite 1331, Southfield, MI 48075 | 2006-09-29 |
| 1598779282 | Embrace Home Health Physicians | Specialist | 19189 W 10 Mile Road, Southfield, MI 48075 | 2006-07-28 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on GROOMING ARTS LOUNGE AND GALLERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.