| S D Consulting Inc | |
|
30150 Telegraph Rd Ste 371 Bingham Farms MI 48025-5709 | |
| (888) 628-5535 | |
| Not Available |
| Full Name | S D Consulting Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 30150 Telegraph Rd Ste 371, Bingham Farms, Michigan |
| Authorized Official Name and Position | Scot Randall (OWNER) |
| Authorized Official Contact | 5172311129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S D Consulting Inc 30150 Telegraph Rd Ste 371 Bingham Farms MI 48025-5709 Ph: (888) 628-5535 | S D Consulting Inc 30150 Telegraph Rd Ste 371 Bingham Farms MI 48025-5709 Ph: (888) 628-5535 |
| NPI Number | 1922821727 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 6305375783 |
|---|---|
| Medicare Enrollment ID | O20250130000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922821727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Scot Randall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881611465 PECOS PAC ID: 3779570031 Enrollment ID: I20040428000907 |
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