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
Phone: (586) 298-6169
Fax: (586) 298-6154
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669488458 | NPPES |
Michigan | Other | 950E051010 | BLUE CROSS BLUE SHIELD |
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