Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 430107057 | MI |
NPI | 1144208356 |
---|---|
Provider Name | Dr. Monique Reeves |
First Address | Ypsilanti, MI 48198-5752 |
Second Address | Ypsilanti, MI 48198-5752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 04/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108234972 | BCBS (01) | MI |
10-4552100 | (05) | MI |
10-4552129 | (05) | MI |
10-4552138 | (05) | MI |
10-4552147 | (05) | MI |
10-4552156 | (05) | MI |
10-4552165 | (05) | MI |
10-4552174 | (05) | MI |
10-4552183 | (05) | MI |
10-4942124 | (05) | MI |
75255183 | (05) | MI |
H21028 | (02) | MI |