Berdeski, Audrey
Berdeski, Audrey is an individual health care provider with primary practice located at 41400 Dequindre Rd #107, Sterling Heights MI 48314-3763. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Berdeski, Audrey can be contacted via phone (586) 466-5911.Contact Information
Primary practice address
41400 Dequindre Rd #107
Sterling Heights MI 48314-3763
Phone: (586) 466-5911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301005380 | Michigan |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401011113 | Michigan |
Profile Details
| NPI number | 1902812720 |
|---|---|
| LBN Legal business name | Berdeski, Audrey |
| Credentials | DC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902812720 | NPPES |
| Michigan | MEDICAID | 3147964 |
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