Miodek, Timothy J
Miodek, Timothy J is an individual health care provider with primary practice located at 21000 E 12 Mile Rd Suite 124, Saint Clair Shores MI 48081-1116. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Miodek, Timothy J can be contacted via phone (586) 447-5030.Contact Information
Primary practice address
21000 E 12 Mile Rd Suite 124
Saint Clair Shores MI 48081-1116
Phone: (586) 447-5030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302030353 | Michigan |
Profile Details
| NPI number | 1710091418 |
|---|---|
| LBN Legal business name | Miodek, Timothy J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| 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.
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