Bielaczyc, Mark James

Bielaczyc, Mark James is an individual health care provider with primary practice located at 416 Connable Ave , Petoskey MI 49770-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bielaczyc, Mark James can be contacted via phone (231) 348-2795.

Contact Information

Primary practice address
416 Connable Ave Petoskey MI 49770-2212
Fax: (231) 348-2031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301403857 Michigan

Profile Details

NPI number 1043311640
LBN Legal business name Bielaczyc, Mark James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 21st, 2012 - about 13 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 1043311640 NPPES
Michigan MEDICAID 1830812

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