Provider Demographics
NPI:1316985567
Name:SALAMEH, NAIEL (DC)
Entity type:Individual
Prefix:DR
First Name:NAIEL
Middle Name:
Last Name:SALAMEH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4021
Mailing Address - Country:US
Mailing Address - Phone:313-595-5056
Mailing Address - Fax:313-277-1313
Practice Address - Street 1:22243 W WARREN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2531
Practice Address - Country:US
Practice Address - Phone:313-277-1985
Practice Address - Fax:313-277-1313
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI660661OtherM CARE
MIU97922OtherHAP
MI95 OH215900OtherBLUE CROSS BLUE SHIELD
MION 81990-001Medicare ID - Type Unspecified
MI95 OH215900OtherBLUE CROSS BLUE SHIELD