Dancik, Jerry A
Dancik, Jerry A is an sole proprietor health care provider with primary practice located at 32121 Woodward Ave 200 , Royal Oak MI 48073-0999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dancik, Jerry A can be contacted via phone (248) 690-9946.Contact Information
Primary practice address
32121 Woodward Ave 200
Royal Oak MI 48073-0999
Phone: (248) 690-9946
Fax: (248) 268-3661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301033510 | Michigan |
Profile Details
| NPI number | 1366412066 |
|---|---|
| LBN Legal business name | Dancik, Jerry A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Nov 12th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366412066 | NPPES |
| Michigan | MEDICAID | 4218461 | |
| Michigan | MEDICAID | 4095853 |
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