| J Silva Goncalves Ed D Inc | |
|
24 Frank Lloyd Wright Dr L4163 Ann Arbor MI 48105-9484 | |
| (734) 546-6400 | |
| Not Available |
| Full Name | J Silva Goncalves Ed D Inc |
|---|---|
| Speciality | Social Worker |
| Location | 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Josehns Silva Goncalves (OWNER) |
| Authorized Official Contact | 7345466400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Silva Goncalves Ed D Inc 2155 Ardenne Dr Ann Arbor MI 48105-1477 Ph: (734) 546-6400 | J Silva Goncalves Ed D Inc 24 Frank Lloyd Wright Dr L4163 Ann Arbor MI 48105-9484 Ph: (734) 546-6400 |
| NPI Number | 1891549432 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 7113460650 |
|---|---|
| Medicare Enrollment ID | O20240625001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891549432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Josehns Silva Goncalves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902197239 PECOS PAC ID: 0648424887 Enrollment ID: I20131009000799 |
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