Zinkovsky, Stanislav

Zinkovsky, Stanislav is an sole proprietor health care provider with primary practice located at 22972 Lahser Rd , Southfield MI 48033-4408. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Zinkovsky, Stanislav can be contacted via phone (248) 353-0079.

Contact Information

Primary practice address
22972 Lahser Rd Southfield MI 48033-4408
Phone: (248) 353-0079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 520106097 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005165 Michigan

Profile Details

NPI number 1689706525
LBN Legal business name Zinkovsky, Stanislav
Credentials OTR, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Oct 15th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689706525 NPPES
Michigan Other 670H202270 BCBS

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