Macisak, Gregory M

Macisak, Gregory M is an individual health care provider with primary practice located at 25401 Harper Ave , Saint Clair Shores MI 48081-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Macisak, Gregory M can be contacted via phone (586) 466-6912.

Contact Information

Primary practice address
25401 Harper Ave Saint Clair Shores MI 48081-2240
Fax: (586) 466-6961
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1275661951
LBN Legal business name Macisak, Gregory M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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