Dodenhoff, Peter Charles

Dodenhoff, Peter Charles is an individual health care provider with primary practice located at 21811 Kelly Rd Suite 107, Eastpointe MI 48021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dodenhoff, Peter Charles can be contacted via phone (586) 773-0200.

Contact Information

Primary practice address
21811 Kelly Rd Suite 107 Eastpointe MI 48021
Phone: (586) 773-0200
Fax: (586) 773-9803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101006192 Michigan

Profile Details

NPI number 1174544928
LBN Legal business name Dodenhoff, Peter Charles
Credentials DO, PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 14th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174544928 NPPES
Michigan Other 55033895 BCBS
Michigan MEDICAID 1075599110 BCBS

Popular Providers