Secreto, Joseph D

Secreto, Joseph D is an individual health care provider with primary practice located at 47601 Grand River Ave , Novi MI 48374-1233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Secreto, Joseph D can be contacted via phone (248) 465-3372.

Contact Information

Primary practice address
47601 Grand River Ave Novi MI 48374-1233
Phone: (248) 465-3372
Fax: (248) 465-4765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2024000132 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 47044413636 Michigan

Profile Details

NPI number 1124894050
LBN Legal business name Secreto, Joseph D
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2023
Last updated Jul 18th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124894050 NPPES
Other 1124894050 NPI

Popular Providers