Individual
FAITH ABBOTT
Active
Individual
FAITH ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101011271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980954
HEALTHPLUS
MI
01
—
1357300535
BLUE CROSS
MI
05
—
4475683
—
MI
Enumeration date
10/03/2005
Last updated
05/14/2019
Update your record
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