Bresticker, Michael Andrew
Bresticker, Michael Andrew is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-3361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bresticker, Michael Andrew can be contacted via phone (570) 271-6367.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-3361
Phone: (570) 271-6367
Fax: (570) 271-7142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01048626A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 55608-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036-079877 | Illinois |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD049632L | Pennsylvania |
Profile Details
| NPI number | 1871595504 |
|---|---|
| LBN Legal business name | Bresticker, Michael Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Oct 22nd, 2019 - about 5 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 | 1871595504 | NPPES |
| Illinois | MEDICAID | 036079877 | |
| Illinois | MEDICAID | 1871595504 | |
| Illinois | MEDICAID | 200183480E | |
| Illinois | MEDICAID | 200183480A | |
| Illinois | MEDICAID | 200183480C | |
| Illinois | MEDICAID | 200183480D | |
| Illinois | MEDICAID | 200183480B |
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