Stachecki, Michael E
Stachecki, Michael E is an individual health care provider with primary practice located at 5885 S Main St Ste 3 , Clarkston MI 48346-2981. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stachecki, Michael E can be contacted via phone (248) 620-1720.Contact Information
Primary practice address
5885 S Main St Ste 3
Clarkston MI 48346-2981
Phone: (248) 620-1720
Fax: (248) 620-1740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301058225 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301058225 | Michigan |
Profile Details
| NPI number | 1659345056 |
|---|---|
| LBN Legal business name | Stachecki, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659345056 | NPPES |
| Michigan | Other | 1106360120 | BCBS |
| Michigan | MEDICAID | 3162002 | BCBS |
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