Downriver Pain Management & Rehab LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

DOWNRIVER PAIN MANAGEMENT & REHAB LLC

Practice address

4617 Allen Rd
Allen Park, MI 48101-2765

Phone

(313) 908-9058

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Miriane El-Ali, NP

Title

Owner

Phone

(313) 578-1115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1649784539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012765",
            "telephone_number": "313-908-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER PAIN MANAGEMENT & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "EL-ALI",
        "authorized_official_first_name": "MIRIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-578-1115",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.