Moretsky, Robert I
Moretsky, Robert I is an individual health care provider with primary practice located at 25600 Schoenherr Rd , Warren MI 48089-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moretsky, Robert I can be contacted via phone (586) 777-6170.Contact Information
Primary practice address
25600 Schoenherr Rd
Warren MI 48089-1447
Phone: (586) 777-6170
Fax: (586) 777-6582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101005323 | Michigan |
Profile Details
NPI number | 1487638573 |
---|---|
LBN Legal business name | Moretsky, Robert I |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Feb 16th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487638573 | NPPES |
Michigan | Other | E26627 | HAP |
Michigan | Other | P00237883 | HAP |
Michigan | Other | 700H217350 | HAP |
Michigan | MEDICAID | 1487638573 | HAP |
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