Peradotto, David

Peradotto, David is an individual health care provider with primary practice located at 43450 W 10 Mile Rd , Novi MI 48375-3172. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Peradotto, David can be contacted via phone (248) 344-7420.

Contact Information

Primary practice address
43450 W 10 Mile Rd Novi MI 48375-3172
Phone: (248) 344-7420
Fax: (248) 344-7423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301008098 Michigan

Profile Details

NPI number 1043249469
LBN Legal business name Peradotto, David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043249469 NPPES
Michigan Other 680F333060 BC PIN
Michigan Other 300040030 BC PIN
Michigan Other 273178 BC PIN
Michigan Other 680F321030 BC PIN
Michigan Other 273178 BC PIN

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