Dettore, Andrew Joseph
Dettore, Andrew Joseph is an sole proprietor health care provider with primary practice located at 23050 West Rd Ste. 110, Brownstown Twp MI 48183-1472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dettore, Andrew Joseph can be contacted via phone (734) 671-9800.Contact Information
Primary practice address
23050 West Rd Ste. 110
Brownstown Twp MI 48183-1472
Phone: (734) 671-9800
Fax: (734) 671-7690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101014925 | Michigan |
Profile Details
| NPI number | 1649489808 |
|---|---|
| LBN Legal business name | Dettore, Andrew Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Feb 27th, 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 | 1649489808 | NPPES |
| Other | 5821561 | BCBS | |
| MEDICAID | 5199923 | BCBS | |
| Other | 6U9940 | BCBS |
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