Hendrick, Steven R

Hendrick, Steven R is an sole proprietor health care provider with primary practice located at 25631 Little Mack Ave Lowr Level , Saint Clair Shores MI 48081-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hendrick, Steven R can be contacted via phone (586) 443-2998.

Contact Information

Primary practice address
25631 Little Mack Ave Lowr Level Saint Clair Shores MI 48081-2100
Phone: (586) 443-2998
Fax: (586) 443-2309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301063383 Michigan

Profile Details

NPI number 1154391381
LBN Legal business name Hendrick, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jul 28th, 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 1154391381 NPPES
Michigan MEDICAID 4754008

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