Dr. Charise Lanette Valentine
General Practice Physician Neuromusculoskeletal Medicine (NMM)
4245 S Beech Daly St Suite 104
Dearborn Heights
, Michigan 48125-1567
Dr. Charise Lanette Valentine
General Practice Physician Neuromusculoskeletal Medicine (NMM)
4245 S Beech Daly St Suite 104
Dearborn Heights
, Michigan 48125-1567
(313) 730-9013
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Charise Lanette Valentine
- 4245 S Beech Daly St Suite 104
- Dearborn Heights, MI
- Zip : 48125-1567
- Fax : (313) 730-9013
- Phone : (313) 730-9011
Second Address
- Dr. Charise Lanette Valentine
- 4245 S Beech Daly St Suite 104
- Dearborn Heights, MI
- Zip : 48125-1567
- Fax : (313) 730-9013
- Phone : (313) 730-9011
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | CV053752 | MI |
| Y | 208D00000X | General Practice Physician | CV053752 | MI |
National Provider Identifier
| NPI | 1366485039 |
|---|---|
| Provider Name | Dr. Charise Lanette Valentine |
| First Address | Dearborn Heights, MI 48125-1567 |
| Second Address | Dearborn Heights, MI 48125-1567 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 04/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1306343272 | BCBS PERSONAL (01) | MI |
| 4614876-10 | (05) | MI |
| 700H219440 | BCBS (01) | MI |
| A16112 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.