Staricco, Andrew M

Staricco, Andrew M is an sole proprietor health care provider with primary practice located at 21000 E 12 Mile Rd Ste 112 , Saint Clair Shores MI 48081-1156. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Staricco, Andrew M can be contacted via phone (586) 772-5550.

Contact Information

Primary practice address
21000 E 12 Mile Rd Ste 112 Saint Clair Shores MI 48081-1156
Phone: (586) 772-5550
Fax: (586) 772-2470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301054487 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301054487 Michigan

Profile Details

NPI number 1750306742
LBN Legal business name Staricco, Andrew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Nov 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750306742 NPPES
Michigan Other 0E00425 BLUE CROSS OF MICHIGAN
Michigan Other 290F349720 BLUE CROSS OF MICHIGAN
Michigan Other 290010212 BLUE CROSS OF MICHIGAN
Michigan MEDICAID 3371675 BLUE CROSS OF MICHIGAN
Michigan Other AS054487 BLUE CROSS OF MICHIGAN
Michigan Other CE4301 BLUE CROSS OF MICHIGAN

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