Debicki, Arkaduisz M
Debicki, Arkaduisz M is an sole proprietor health care provider with primary practice located at 3222 Mishawaka Ave , South Bend IN 46615-2352. 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. Debicki, Arkaduisz M can be contacted via phone (574) 255-8730.Contact Information
Primary practice address
3222 Mishawaka Ave
South Bend IN 46615-2352
Phone: (574) 255-8730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05005298A | Indiana |
Profile Details
| NPI number | 1881648582 |
|---|---|
| LBN Legal business name | Debicki, Arkaduisz M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 24th, 2024 - about 2 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 | 1881648582 | NPPES |
| Indiana | MEDICAID | 300037693 |
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