Gary J. Fusciardi, Phd Pc
LBN: Gary J. Fusciardi, Phd Pc
Gary J. Fusciardi, Phd Pc is an health care organization with primary practice located at 8061 21 Mile Rd Suite #4, Shelby Township MI 48317-4311. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Gary J. Fusciardi, Phd Pc can be contacted via phone (586) 323-0696, or through Fusciardi, Gary Joseph via phone (586) 323-0696.
Contact Information
Primary practice address
8061 21 Mile Rd Suite #4
Shelby Township MI 48317-4311
Phone: (586) 323-0696
Fax: (586) 731-8393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301005314 | Michigan |
Profile Details
| NPI number | 1669564837 |
|---|---|
| LBN Legal business name | Gary J. Fusciardi, Phd Pc |
| DBA Doing business as | |
| Authorized official | Fusciardi, Gary Joseph PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jun 2nd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669564837 | NPPES |
| Michigan | Other | 5088220 | AETNA PIN |
| Michigan | Other | 9496605 | AETNA PIN |
| Michigan | Other | 68-0E02859-0 | AETNA PIN |
| Michigan | Other | 042893 | AETNA PIN |
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