Lepak, Cynthia Ann

Lepak, Cynthia Ann is an individual health care provider with primary practice located at 3492 Edgewood Park Dr , Commerce Township MI 48382-4434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Lepak, Cynthia Ann can be contacted via phone (586) 381-5960.

Contact Information

Primary practice address
3492 Edgewood Park Dr Commerce Township MI 48382-4434
Phone: (586) 381-5960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301066198 Michigan

Profile Details

NPI number 1205896032
LBN Legal business name Lepak, Cynthia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205896032 NPPES
Michigan Other CL066198 BC/BS OF MI
Michigan MEDICAID 104308540 BC/BS OF MI
Michigan MEDICAID 103481640 BC/BS OF MI
Michigan MEDICAID 104175248 BC/BS OF MI

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