Dudek, Gregory A.

Dudek, Gregory A. is an individual health care provider with primary practice located at 117 Crocker Blvd , Mount Clemens MI 48043-2505. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dudek, Gregory A. can be contacted via phone (586) 465-7422.

Contact Information

Primary practice address
117 Crocker Blvd Mount Clemens MI 48043-2505
Phone: (586) 465-7422
Fax: (586) 465-1480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X GD002916 Michigan

Profile Details

NPI number 1477580140
LBN Legal business name Dudek, Gregory A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477580140 NPPES
Michigan MEDICAID 2096664
Michigan Other P42816

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