Ilitch, John P.
Ilitch, John P. is an individual health care provider with primary practice located at 15311 W Mcnichols Rd , Detroit MI 48235-3723. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ilitch, John P. can be contacted via phone (313) 838-0490.Contact Information
Primary practice address
15311 W Mcnichols Rd
Detroit MI 48235-3723
Phone: (313) 838-0490
Fax: (248) 539-3347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14256 | Michigan |
Profile Details
| NPI number | 1720127384 |
|---|---|
| LBN Legal business name | Ilitch, John P. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720127384 | NPPES |
| Michigan | Other | 14256 | DENTAL LICENSE |
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