Centofanti, Ernest Richard

Centofanti, Ernest Richard is an sole proprietor health care provider with primary practice located at 3078 Main St , Marlette MI 48453-0245. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Centofanti, Ernest Richard can be contacted via phone (989) 635-3828.

Contact Information

Primary practice address
3078 Main St Marlette MI 48453-0245
Phone: (989) 635-3828
Fax: (989) 635-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 005491 Michigan

Profile Details

NPI number 1073542858
LBN Legal business name Centofanti, Ernest Richard
Credentials D.C., C.C.S.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1073542858 NPPES
Michigan Other 950G65244 BLUE CROSS
Michigan MEDICAID 2582862 BLUE CROSS

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