Porsha Covington

Individual provider Active NPI Other Technician · Dearborn, MI

NPI 1992228803 · NPPES record last updated Jul 23, 2017

Key facts

NPI
1992228803
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
3231 S Gulley Rd Ste E
Dearborn, MI 48124-4407
Phone
(313) 278-2327
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

3231 S Gulley Rd Ste E
Dearborn, MI 48124-4407

Mailing address

620 Germantown Pike
Lafayette Hill, PA 19444-1810

Other providers in Dearborn, MI

All providers in Dearborn, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.