Andraka, John M

Andraka, John M is an sole proprietor health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. 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. Andraka, John M can be contacted via phone (989) 774-3904.

Contact Information

Primary practice address
1101 Health Professions Bldg Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501014186 Michigan

Profile Details

NPI number 1639241680
LBN Legal business name Andraka, John M
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jan 23rd, 2014 - about 12 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 1639241680 NPPES
Michigan Other 0C70105 BLUE CROSS

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