Detke, Michael J
Detke, Michael J is an individual health care provider with primary practice located at 5018 Saint Charles Pl , Carmel IN 46033-5940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Detke, Michael J can be contacted via phone (317) 902-2002.Contact Information
Primary practice address
5018 Saint Charles Pl
Carmel IN 46033-5940
Phone: (317) 902-2002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01052665 | Indiana |
Profile Details
| NPI number | 1275570558 |
|---|---|
| LBN Legal business name | Detke, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 7th, 2014 - about 10 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 | 1275570558 | NPPES |
| Indiana | Other | 260046994 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 200315250 | RAILROAD MEDICARE |
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