Tryciecky, Eugene Walter
Tryciecky, Eugene Walter is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tryciecky, Eugene Walter can be contacted via phone (248) 471-8371.Contact Information
Primary practice address
28050 Grand River Ave
Farmington Hills MI 48336-5919
Phone: (248) 471-8371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5101007736 | Michigan |
Profile Details
| NPI number | 1467522961 |
|---|---|
| LBN Legal business name | Tryciecky, Eugene Walter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Dec 3rd, 2019 - about 5 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 | 1467522961 | NPPES |
| Michigan | Other | 300127739 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 4371188 | RAILROAD MEDICARE |
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