TED GLOSTER JR.
NPI 1043919558
Contractor in Detroit, MI

Active since February 23, 2023
2436 HAZELWOOD ST, DETROIT, MI 48206(313) 346-3761 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Contractor

About TED GLOSTER

This page provides the complete NPI Profile along with additional information for Ted Gloster, a provider established in Detroit, Michigan with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1043919558 assigned on February 2023. The practitioner's primary taxonomy code is 171W00000X with license number G423789004993 (MI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1043919558 Verify this NPI
Provider Name
TED GLOSTER JR.
Gender
Male
Entity Type
Individual
Location Address
2436 HAZELWOOD ST DETROIT, MI 48206
Location Phone
(313) 346-3761
Mailing Address
2436 HAZELWOOD ST DETROIT, MI 48206
Mailing Phone
(313) 346-3761
Is Sole Proprietor?
Yes
Enumeration Date
02-23-2023
Last Update Date
02-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
G423789004993
License State
MI
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043919558, enumerated as an "individual" on February 23, 2023.

The provider is located at 2436 HAZELWOOD ST DETROIT, MI 48206 and the phone number is (313) 346-3761.

Contractor with taxonomy code 171W00000X.