Andraka, John M
Andraka, John M is an sole proprietor health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Andraka, John M can be contacted via phone (989) 774-3904.Contact Information
Primary practice address
1101 Health Professions Bldg
Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501014186 | Michigan |
Profile Details
NPI number | 1639241680 |
---|---|
LBN Legal business name | Andraka, John M |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 14th, 2006 |
Last updated | Jan 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639241680 | NPPES |
Michigan | Other | 0C70105 | BLUE CROSS |
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