Gardynik, Adele Xenia

Gardynik, Adele Xenia is an individual health care provider with primary practice located at 79 W Alexandrine St , Detroit MI 48201-2015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Eye and Vision Services Providers / Technician/Technologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gardynik, Adele Xenia can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine St Detroit MI 48201-2015
Phone: (313) 831-5535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801103723 Michigan
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1952824617
LBN Legal business name Gardynik, Adele Xenia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Jul 21st, 2022 - about 2 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 1952824617 NPPES
Michigan MEDICAID 1952824617

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