Individual
EDEWOR SPLENDID NANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17500 NORTHLAND PARK CT STE 1, SOUTHFIELD, MI 48075-4324
(313) 388-7110
(313) 388-7424
Mailing address
17500 NORTHLAND PARK CT STE 1, SOUTHFIELD, MI 48075-4324
(313) 388-7110
(313) 388-7424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383588707
PPONN
—
05
—
4297616
—
MI
01
—
P112871
BCBS
—
Enumeration date
11/08/2006
Last updated
07/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us