Dr. Edwin Black George
Neurologist Clinical Neurophysiologist
4201 St Antoine Ste 8a & 8b University Health Center
Detroit
, Michigan 48201-2153
Dr. Edwin Black George
Neurologist Clinical Neurophysiologist
4201 St Antoine Ste 8a & 8b University Health Center
Detroit
, Michigan 48201-2153
(313) 745-4468
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Dr. Edwin Black George
- 1560 E Maple Rd Suite 400-Credentialing
- Troy, MI
- Zip : 48083-1138
- Fax : (313) 745-4468
- Phone : (313) 745-4275
Second Address
- Dr. Edwin Black George
- 4201 St Antoine Ste 8a & 8b University Health Center
- Detroit, MI
- Zip : 48201-2153
- Fax : (313) 745-4468
- Phone : (313) 745-4275
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 4301068940 | MI |
| N | 2084N0600X | Clinical Neurophysiologist | 4301068940 | MI |
National Provider Identifier
| NPI | 1255378774 |
|---|---|
| Provider Name | Dr. Edwin Black George |
| First Address | Troy, MI 48083-1138 |
| Second Address | Detroit, MI 48201-2153 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 03/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E94063 | (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.