Wieczorek, Jeffrey John
Wieczorek, Jeffrey John is an sole proprietor health care provider with primary practice located at 9416 Wildwood Lake Dr , Whitmore Lake MI 48189-9430. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Wieczorek, Jeffrey John can be contacted via phone (734) 449-8706.Contact Information
Primary practice address
9416 Wildwood Lake Dr
Whitmore Lake MI 48189-9430
Phone: (734) 449-8706
Fax: (734) 449-8706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 5302032120 | Michigan |
Profile Details
| NPI number | 1316350887 |
|---|---|
| LBN Legal business name | Wieczorek, Jeffrey John |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Jun 23rd, 2014 - about 10 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 | 1316350887 | NPPES |
| Michigan | MEDICAID | 5302032120 |
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