CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
NPI 1942620638
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Grand Rapids, MI
- Organization
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
About CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
This page provides the complete NPI Profile along with additional information for Center For Adolescent And Child Neurology, a provider established in Grand Rapids, Michigan operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1942620638 assigned on April 2014. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Olufemi Oluseun Soyode M.d. (Owner)
- NPI
- 1942620638 Verify this NPI
- Provider Name
- CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
- Entity Type
- Organization
- Location Address
- 422 PLYMOUTH AVE NE GRAND RAPIDS, MI 49505
- Location Phone
- (616) 294-0010
- Mailing Address
- 422 PLYMOUTH AVE NE GRAND RAPIDS, MI 49505
- Mailing Phone
- (616) 294-0010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2014
- Last Update Date
- 02-17-2015
- Code Navigator
Location Map
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
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942620638, enumerated as an "organization" on April 21, 2014.
The provider is located at 422 PLYMOUTH AVE NE GRAND RAPIDS, MI 49505 and the phone number is (616) 294-0010.
Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.