Credi, Wagdi E
Credi, Wagdi E is an sole proprietor health care provider with primary practice located at 201 Eckford Dr , Troy MI 48085-4769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Credi, Wagdi E can be contacted via phone (248) 524-2630.Contact Information
Primary practice address
201 Eckford Dr
Troy MI 48085-4769
Phone: (248) 524-2630
Fax: (248) 524-2630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301034828 | Michigan |
Profile Details
| NPI number | 1780759852 |
|---|---|
| LBN Legal business name | Credi, Wagdi E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Aug 17th, 2010 - about 15 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 | 1780759852 | NPPES |
| Michigan | MEDICAID | 1579030-10 |
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