Emmendorfer, Jack

Emmendorfer, Jack is an individual health care provider with primary practice located at 33875 Kiely Dr , Chesterfield MI 48047-3604. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Emmendorfer, Jack can be contacted via phone (586) 725-6030.

Contact Information

Primary practice address
33875 Kiely Dr Chesterfield MI 48047-3604
Phone: (586) 725-6030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 5202010112 Michigan

Profile Details

NPI number 1427831247
LBN Legal business name Emmendorfer, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2023
Last updated Aug 15th, 2023 - about 3 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.

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