Organization Active NPI

Early Solutions Clinic, LLC

  • Urgent Care Clinic/Center
  • Allen Park, MI
National Provider Identifier
1316164098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4704224985 Issued in MI
Legal business name
EARLY SOLUTIONS CLINIC, LLC
Practice address
3555 Fairland Blvd.
Allen Park, MI 48101
Phone
(810) 600-1400
Fax
(810) 600-1403
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Juliet Alfonso Santos, NP
Title
President &Ceo
Phone
(810) 240-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 4704224985 MI Primary

Addresses

Primary practice location

3555 Fairland Blvd.
Allen Park, MI 48101

Mailing address

G-2333 South Center Road
Burton, MI 48519
Phone (810) 600-1400

National Provider Directory

National Provider Directory
Tax ID family
Early Solutions Clinic LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316164098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-2333 SOUTH CENTER ROAD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48519",
            "telephone_number": "810-600-1400",
            "fax_number": "810-600-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 FAIRLAND BLVD.",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "810-600-1400",
            "fax_number": "810-600-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY SOLUTIONS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT &CEO",
        "authorized_official_telephone_number": "810-240-8800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4704224985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.