MRS. CONNIE LEE EILAND (NPI# 1053448860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053448860 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE LEE EILAND |
| Credential | PT |
| Practice Address |
3645 Chatsworth St Detroit MI 48224-3447 |
| Practice Telephone | 3133438808 |
| Practice Fax Number | 3133438862 |
| Mailing Telephone | 3133438808 |
| Mailing Fax Number | 3133438862 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5501000692 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHYSICAL THERAPY LICENSE | 5501000692 | 01 |
| Street Address |
3645 CHATSWORTH ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| 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 |
|---|---|---|---|---|
| 1689172553 | Senora King | Specialist | 7824 Artesian St, Detroit, MI 48228-3376 | 2018-01-25 |
| 1134526437 | Pierre E Vinson | Specialist | 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 | 2014-12-02 |
| 1316348865 | Lamika Riley | Specialist | 18320 W Mcnichols Rd, Detroit, MI 48219-4162 | 2014-09-15 |
| 1659622017 | Extraordinary Medical Billing&consultant Services | Specialist | 19964 Rogge St, Detroit, MI 48234-3031 | 2012-09-26 |
| 1144588450 | Jessica Jensine Noles | Specialist | 14211 Northlawn St, Detroit, MI 48238-2434 | 2012-04-25 |
| 1770803496 | Cassandra Boggon | Specialist | 16203 Wyoming St, Detroit, MI 48221-3417 | 2010-06-03 |
| 1104089499 | Muwaffak Mohammad Abdulhak | Specialist | 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 | 2008-07-07 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1962674028 | House-call Service, Inc. | Specialist | 19455 Kentfield St, Detroit, MI 48219-2013 | 2008-03-29 |
| 1558530030 | Samir R. Yahia Md,p.c | Specialist | 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 | 2008-02-28 |
| Find all providers in DETROIT | ||||
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| 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.