| Essential Medical Group Inc. | |
|
3120 Carpenter St Ste 207 Hamtramck MI 48212-2771 | |
| (313) 826-0171 | |
| Not Available |
| Full Name | Essential Medical Group Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 3120 Carpenter St Ste 207, Hamtramck, Michigan |
| Authorized Official Name and Position | Omar Madison (OWNER) |
| Authorized Official Contact | 3138260171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Medical Group Inc. 3120 Carpenter St Ste 207 Hamtramck MI 48212-2771 Ph: (313) 826-0171 | Essential Medical Group Inc. 3120 Carpenter St Ste 207 Hamtramck MI 48212-2771 Ph: (313) 826-0171 |
| NPI Number | 1619581352 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619581352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Secondary |
| 261QP3300X | Clinic/center - Pain | (NU) | Secondary |
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