Basic Information
Provider Information
NPI: 1861076929
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HEIGHT-KAPLAN
FirstName: RACHEL
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16001 W. 9 MILE RD
Address2: 2ND FLOOR DEPAUL
City: SOUTHFIELD
State: MI
PostalCode: 480754818
CountryCode: US
TelephoneNumber: 2488493415
FaxNumber: 2488492994
Practice Location
Address1: 16001 W. 9 MILE ROAD
Address2: 2ND FLOOR DEPAUL
City: SOUTHFIELD
State: MI
PostalCode: 480754818
CountryCode: US
TelephoneNumber: 2488493415
FaxNumber: 2488492994
Other Information
ProviderEnumerationDate: 05/05/2021
LastUpdateDate: 05/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213E00000X5951001429MIY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

No ID Information.


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