Pourcho, William R

Pourcho, William R is an individual health care provider with primary practice located at 621 Court St Ste 101, West Branch MI 48661-9390. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pourcho, William R can be contacted via phone (989) 343-3000.

Contact Information

Primary practice address
621 Court St Ste 101 West Branch MI 48661-9390
Phone: (989) 343-3000
Fax: (989) 343-3003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501010094 Michigan

Profile Details

NPI number 1417058231
LBN Legal business name Pourcho, William R
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Nov 19th, 2012 - about 12 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 1417058231 NPPES
Michigan Other 1015964 MCLAREN
Michigan MEDICAID 104493369 MCLAREN
Michigan Other 650F500040 MCLAREN

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