Vivian Bousi, HS
Technician, Other in Dearborn, MI. Individual provider (NPI-1).
NPI number1669911319
StatusActive
Last updated in NPPESFeb 14, 2017
Details
- NPI
- 1669911319
- Entity type
- Individual (NPI-1)
- Name
- Vivian Bousi
- Credential
- HS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2017
- Last updated
- Feb 14, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
3231 S Gulley RdSuite E
Dearborn, MI 48124-4407
Phone 313-278-2327
Mailing address
3231 S Gulley RdSuite E
Dearborn, MI 48124-4407
Phone 313-278-2327
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