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
Fax: (248) 620-1740
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1659345056 NPPES
Michigan Other 1106360120 BCBS
Michigan MEDICAID 3162002 BCBS

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