Gozdzialski, Theodore John

Gozdzialski, Theodore John is an individual health care provider with primary practice located at 5062 Ironside Dr , Waterford MI 48329-1637. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Gozdzialski, Theodore John can be contacted via phone (248) 623-2615.

Contact Information

Primary practice address
5062 Ironside Dr Waterford MI 48329-1637
Phone: (248) 623-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 4704106174 Michigan

Profile Details

NPI number 1700010840
LBN Legal business name Gozdzialski, Theodore John
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated May 4th, 2009 - about 16 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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