Electrical Workers Joint Board of Trustees

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ELECTRICAL WORKERS JOINT BOARD OF TRUSTEES

Practice address

2277 E 11 Mile Rd
Suite Number 2
Warren, MI 48092-5217

Phone

(586) 575-9200

Fax

(586) 575-9209

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Mittelbrun III

Title

Cebs Administrator

Phone

(586) 575-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1528236106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71337",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480710337",
            "telephone_number": "586-575-9200",
            "fax_number": "586-575-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 E 11 MILE RD",
            "address_2": "SUITE NUMBER 2",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925217",
            "telephone_number": "586-575-9200",
            "fax_number": "586-575-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRICAL WORKERS JOINT BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "MITTELBRUN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEBS ADMINISTRATOR",
        "authorized_official_telephone_number": "586-575-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Warren, MI
• Providers in Warren, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.