Atwal, Mandip S

Atwal, Mandip S is an individual health care provider with primary practice located at 1030 Harrington St 302A, Mount Clemens MI 48043-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Atwal, Mandip S can be contacted via phone (586) 759-2005.

Contact Information

Primary practice address
1030 Harrington St 302A Mount Clemens MI 48043-2967
Phone: (586) 759-2005
Fax: (586) 759-2636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA012641 Michigan

Profile Details

NPI number 1972573061
LBN Legal business name Atwal, Mandip S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 26th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573061 NPPES
Michigan Other 0255004485 BCBS PIN
Michigan Other 0255010915 BCBS PIN
Michigan MEDICAID 114528179 BCBS PIN

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