Daros, Evtishios James
Daros, Evtishios James is an individual health care provider with primary practice located at 8275 Holly Rd Suite1, Grand Blanc MI 48439-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Daros, Evtishios James can be contacted via phone (810) 603-0990.Contact Information
Primary practice address
8275 Holly Rd Suite1
Grand Blanc MI 48439-2442
Phone: (810) 603-0990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ED007048 | Michigan |
Profile Details
| NPI number | 1316944333 |
|---|---|
| LBN Legal business name | Daros, Evtishios James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1316944333 | NPPES |
| Michigan | MEDICAID | 2095522 | |
| Michigan | Other | 5253833 |
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