Raphtis, Constantine

Raphtis, Constantine is an individual health care provider with primary practice located at 19714 E 10 Mile Rd , St Clair Shores MI 48080-1064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raphtis, Constantine can be contacted via phone (586) 779-9400.

Contact Information

Primary practice address
19714 E 10 Mile Rd St Clair Shores MI 48080-1064
Fax: (586) 779-8949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101010924 Michigan

Profile Details

NPI number 1558354159
LBN Legal business name Raphtis, Constantine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 29th, 2008 - about 17 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 1558354159 NPPES
Michigan MEDICAID 4325630

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