Tutak, Dean Richard

Tutak, Dean Richard is an sole proprietor health care provider with primary practice located at 18600 Florence St Suite B5, Roseville MI 48066-6600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tutak, Dean Richard can be contacted via phone (586) 298-6169.

Contact Information

Primary practice address
18600 Florence St Suite B5 Roseville MI 48066-6600
Fax: (586) 298-6154
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DT002687 Michigan

Profile Details

NPI number 1669488458
LBN Legal business name Tutak, Dean Richard
Credentials CHIROPRACTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 30th, 2010 - about 14 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 1669488458 NPPES
Michigan Other 950E051010 BLUE CROSS BLUE SHIELD

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