PERRIS J STALLWORTH
NPI 1134815368
Technician in Detroit, MI

Q: What is Perris Stallworth's NPI number?

The NPI number for Perris Stallworth is 1134815368. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Perris Stallworth's specialty?

The primary specialty registered for this NPI is Technician with taxonomy code 374700000X.

Q: When was this NPI record last updated?

The NPPES record for Perris Stallworth was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2023

2925 RUSSELL ST, DETROIT, MI 48207(313) 396-5300 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Perris J Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERRIS J STALLWORTH (NPI 1134815368) is an individual technician in Detroit, Michigan and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1134815368

Entity TypeIndividualMale

Primary Taxonomy374700000X

Provider Legal NamePERRIS J STALLWORTH

Location Address2925 RUSSELL STDetroit, MI 48207-4825

Mailing Address16530 Bramell StDetroit, MI 48219-3754 · (313) 955-9613

Phone(313) 396-5300

Sole ProprietorYes

Enumeration DateApril 12, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1134815368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnicianNursing Service Related Providers

Taxonomy Code374700000X

Definition

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.

2925 RUSSELL ST, Detroit, MI 48207

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCIA M WICKER RN

Registered Nurse