Pitko, Marie E.

Pitko, Marie E. is an sole proprietor health care provider with primary practice located at 42524 Hayes Rd Ste 300 , Clinton Twp MI 48038-3643. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Pitko, Marie E. can be contacted via phone (586) 228-9740.

Contact Information

Primary practice address
42524 Hayes Rd Ste 300 Clinton Twp MI 48038-3643
Fax: (586) 228-1507
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Michigan

Profile Details

NPI number 1750391603
LBN Legal business name Pitko, Marie E.
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750391603 NPPES
Michigan Other 540E00320 BCBS VISION
Michigan MEDICAID 2656278 BCBS VISION

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