Haenick, Michael Fredrick
Haenick, Michael Fredrick is an individual health care provider with primary practice located at 42350 Grand River Ave , Novi MI 48375-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Haenick, Michael Fredrick can be contacted via phone (248) 697-2942.Contact Information
Primary practice address
42350 Grand River Ave
Novi MI 48375-1838
Phone: (248) 697-2942
Fax: (248) 436-6628
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301067679 | Michigan |
Profile Details
NPI number | 1235127770 |
---|---|
LBN Legal business name | Haenick, Michael Fredrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2005 |
Last updated | Aug 26th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235127770 | NPPES |
Michigan | MEDICAID | 4705451 |
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