Wozniak, Lance Thaddeus
Wozniak, Lance Thaddeus is an individual health care provider with primary practice located at 24255 W 13 Mile Rd Ste 100 , Bingham Farms MI 48025-4345. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wozniak, Lance Thaddeus can be contacted via phone (248) 988-8085.Contact Information
Primary practice address
24255 W 13 Mile Rd Ste 100
Bingham Farms MI 48025-4345
Phone: (248) 988-8085
Fax: (248) 988-8565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501011569 | Michigan |
Profile Details
NPI number | 1164574935 |
---|---|
LBN Legal business name | Wozniak, Lance Thaddeus |
Credentials | P.T., D.P.T. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Jun 25th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164574935 | NPPES |
Michigan | MEDICAID | 1164574935 |
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