Pedraza, Edgard
Pedraza, Edgard is an sole proprietor health care provider with primary practice located at 1547 S Wayne Rd , Westland MI 48186-5436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pedraza, Edgard can be contacted via phone (734) 405-0176.Contact Information
Primary practice address
1547 S Wayne Rd
Westland MI 48186-5436
Phone: (734) 405-0176
Fax: (586) 795-5540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301034895 | Michigan |
Profile Details
| NPI number | 1881881324 |
|---|---|
| LBN Legal business name | Pedraza, Edgard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Jul 3rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881881324 | NPPES |
| Michigan | Other | 0N15280004 | MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH |
| Michigan | MEDICAID | 4767490 | MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH |
| Michigan | Other | 0N15280 | MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH |
| Michigan | MEDICAID | 4308952 10 | MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH |
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