Domiczek, Aleksander A
Domiczek, Aleksander A is an individual health care provider with primary practice located at 18 Market St , Mount Clemens MI 48043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Domiczek, Aleksander A can be contacted via phone (586) 783-2222.Contact Information
Primary practice address
18 Market St
Mount Clemens MI 48043
Phone: (586) 783-2222
Fax: (586) 783-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301048524 | Michigan |
Profile Details
| NPI number | 1427049683 |
|---|---|
| LBN Legal business name | Domiczek, Aleksander A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 18th, 2018 - about 8 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 | 1427049683 | NPPES |
| Michigan | Other | 0804400591 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 080D410020 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 253226 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | B43001 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 080D410020 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 92588990011 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 080162065 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 080D410020 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 4105744 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 0805026931 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 080D410020 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 253226 | BLUE CROSS INDIVIDUAL |
| Michigan | MEDICAID | 4244111 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 0805026931 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | 0988917 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | B43001 | BLUE CROSS INDIVIDUAL |
| Michigan | Other | C7390 | BLUE CROSS INDIVIDUAL |
| Michigan | MEDICAID | 1427049683 | BLUE CROSS INDIVIDUAL |
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