Cieslak, Richard
Cieslak, Richard is an individual health care provider with primary practice located at 19401 Hubbard Drive Suite 207 Henry Ford Health System, Dearborn MI 48126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cieslak, Richard can be contacted via phone (313) 982-8261.Contact Information
Primary practice address
19401 Hubbard Drive Suite 207 Henry Ford Health System
Dearborn MI 48126
Phone: (313) 982-8261
Fax: (313) 982-8205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 43010161508 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 43010161508 | Michigan |
Profile Details
| NPI number | 1366479040 |
|---|---|
| LBN Legal business name | Cieslak, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 14th, 2008 - about 17 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 | 1366479040 | NPPES |
| Other | RC061508 | CHAMPUS-CHAMPUS | |
| MEDICAID | 2378930 | CHAMPUS-CHAMPUS | |
| Other | RC061508 | CHAMPUS-CHAMPUS |
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