Bistolarides, Peter

Bistolarides, Peter is an individual health care provider with primary practice located at 4201 Campus Ridge Drive , Midland MI 48640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bistolarides, Peter can be contacted via phone (989) 839-1795.

Contact Information

Primary practice address
4201 Campus Ridge Drive Midland MI 48640
Phone: (989) 839-1795
Fax: (989) 839-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301064856 Michigan

Profile Details

NPI number 1407838048
LBN Legal business name Bistolarides, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 3rd, 2016 - about 9 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 1407838048 NPPES
Michigan Other 020G361410 BCBSM GROUP PIN
Michigan Other 156543 BCBSM GROUP PIN
Michigan Other P00348487 BCBSM GROUP PIN
Michigan MEDICAID 104905069 BCBSM GROUP PIN
Michigan Other 0993608 BCBSM GROUP PIN
Michigan Other PB064856 BCBSM GROUP PIN

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