Marciniak, Patricia M.

Marciniak, Patricia M. is an individual health care provider with primary practice located at 6026 Harkson Dr , East Lansing MI 48823-1513. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marciniak, Patricia M. can be contacted via phone (517) 332-2006.

Contact Information

Primary practice address
6026 Harkson Dr East Lansing MI 48823-1513
Fax: (517) 332-2006
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801062760 Michigan

Profile Details

NPI number 1639221351
LBN Legal business name Marciniak, Patricia M.
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 23rd, 2009 - about 15 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 1639221351 NPPES
Michigan Other 251105000 MAGELLAN

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