| Individuallytics Connected Care | |
|
330 E Liberty St Ann Arbor MI 48104-2274 | |
| (248) 505-3175 | |
| Not Available |
| Full Name | Individuallytics Connected Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 E Liberty St, Ann Arbor, Michigan |
| Authorized Official Name and Position | Dennis Nash (PRESIDENT) |
| Authorized Official Contact | 2484320175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Individuallytics Connected Care 3765 Sancroft Ave West Bloomfield MI 48324-2658 Ph: () - | Individuallytics Connected Care 330 E Liberty St Ann Arbor MI 48104-2274 Ph: (248) 505-3175 |
| NPI Number | 1164078648 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4183053846 |
|---|---|
| Medicare Enrollment ID | O20200331002487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164078648 | NPI | - | NPPES |
| Provider Name | Janet H Greenhut |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1942474150 PECOS PAC ID: 4385960913 Enrollment ID: I20200331002571 |
| Provider Name | Steven M Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861914863 PECOS PAC ID: 3274962949 Enrollment ID: I20200806001986 |
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