MR. REZA HAFEZI (NPI# 1093126872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093126872 |
| Entity Type | Individual |
| Full Name | MR. REZA HAFEZI |
| Credential | D.C. |
| Practice Address |
17600 W. Warren Ave. Detroit MI 48228 |
| Practice Telephone | 3134209655 |
| Mailing Telephone | 3134209655 |
| Mailing Fax Number | 3132406557 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007342 | MI | Chiropractic Providers |
| Street Address |
17600 W. WARREN AVE. |
| City | DETROIT |
| State | MI |
| Zip Code | 48228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1932400363 | Asmaa Boulehia | Social Worker | 16921 W. Warren Ave., Detroit, MI 48228 | 2010-11-17 |
| Find all providers in zip 48228 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497294672 | Shermia Lovely | Chiropractor | 15411 Edmore Dr, Detroit, MI 48205-1350 | 2017-02-21 |
| 1952782682 | Pur Wellness Pllc | Chiropractor | 14243 W 8 Mile Rd, Detroit, MI 48235-1502 | 2015-06-18 |
| 1306165642 | Michigan Physical Therapy | Chiropractor | 7004 Michigan Ave, Detroit, MI 48210-2872 | 2010-05-26 |
| 1669643011 | Warren Chiropractic & Rehab Clinic P.C. | Chiropractor | 19201 W Warren Ave, Detroit, MI 48228-3393 | 2008-03-13 |
| 1649452277 | Jacob M Bell | Chiropractor | 530000 Breitenbush Rd, Detroit, OR 97342 | 2007-12-05 |
| 1942494117 | Raymond J Kaminski | Chiropractor | 10575 Morang Dr, Detroit, MI 48224-1880 | 2007-08-30 |
| 1083831978 | Winsen C Zouzal | Chiropractor | 15761 Mack Ave, Detroit, MI 48224-3479 | 2007-04-20 |
| 1093838278 | Luther Paul Rosemond | Chiropractor | 17701 Schoolcraft St, Detroit, MI 48227-1347 | 2007-04-10 |
| 1073679353 | Frank Luca Vesprini | Chiropractor | 12912 E 8 Mile Rd, Detroit, MI 48205-1142 | 2006-12-29 |
| 1962575126 | Robert Pizzimenti | Chiropractor | 18700 Woodward Ave, Detroit, MI 48203-1965 | 2006-11-16 |
| 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.