| NPI Details | |
|---|---|
| NPI | 1215149489 |
| Enumeration Date | 05/03/2007 |
| Last Updated | 07/09/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | BOONE S. BOONE |
| Position | PRESIDENT |
| Phone | (734) 542-4287 |
| Fax | (734) 542-4289 |
| Practice Location | |
|---|---|
| 15752 OAKHILL COURT LIVONIA MI, 48154, US |
|
| Phone | (734) 542-4287 |
| Fax | (734) 542-4289 |
| Business Location | |
|---|---|
| 15752 OAKHILL COURT LIVONIA MI, 48154, US |
|
| Phone | (734) 542-4287 |
| Fax | (734) 542-4289 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1215149489 NPI Number | |
According to our database, Innovative Concepts NPI is 1215149489, taxonomy code is 332B00000X Innovative Concepts physically located at 15752 Oakhill Court, Livonia MI, 48154. NPI Number 1033115704 has the healthcare provider type.
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1215149489 NPI number is provided on an as is basis without warranty of any kind. 1215149489 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Concepts are for informational purposes only.
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