Panichella, Andrea Bree
Panichella, Andrea Bree is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Panichella, Andrea Bree can be contacted via phone (734) 246-8962.Contact Information
Primary practice address
2333 Biddle Ave
Wyandotte MI 48192-4668
Phone: (734) 246-8962
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5502003760 | Michigan |
Profile Details
NPI number | 1568043974 |
---|---|
LBN Legal business name | Panichella, Andrea Bree |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2021 |
Last updated | Apr 16th, 2021 - about 3 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 | 1568043974 | NPPES |
Michigan | MEDICAID | 5502003760 |
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