Mardelli, Joseph
Mardelli, Joseph is an sole proprietor health care provider with primary practice located at 50505 Schoenherr Rd Ste 290 , Shelby Township MI 48315-3141. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mardelli, Joseph can be contacted via phone (586) 314-0080.Contact Information
Primary practice address
50505 Schoenherr Rd Ste 290
Shelby Township MI 48315-3141
Phone: (586) 314-0080
Fax: (586) 731-6257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | JM077971 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | JM077971 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 43010077971 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301077971 | Michigan |
Profile Details
| NPI number | 1376543538 |
|---|---|
| LBN Legal business name | Mardelli, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 28th, 2023 - about last year |
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 | 1376543538 | NPPES |
| Michigan | Other | 1598700932 | GROUP NPI |
| Michigan | Other | 290F349720 | GROUP NPI |
| Michigan | Other | 0E00425 | GROUP NPI |
| Michigan | MEDICAID | 4399895 | GROUP NPI |
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