Dettore, Andrew Joseph

Dettore, Andrew Joseph is an sole proprietor health care provider with primary practice located at 23050 West Rd Ste. 110, Brownstown Twp MI 48183-1472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dettore, Andrew Joseph can be contacted via phone (734) 671-9800.

Contact Information

Primary practice address
23050 West Rd Ste. 110 Brownstown Twp MI 48183-1472
Phone: (734) 671-9800
Fax: (734) 671-7690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101014925 Michigan

Profile Details

NPI number 1649489808
LBN Legal business name Dettore, Andrew Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Feb 27th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649489808 NPPES
Other 5821561 BCBS
MEDICAID 5199923 BCBS
Other 6U9940 BCBS

Popular Providers