Gozdzialski, Theodore John
Gozdzialski, Theodore John is an individual health care provider with primary practice located at 5062 Ironside Dr , Waterford MI 48329-1637. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Gozdzialski, Theodore John can be contacted via phone (248) 623-2615.Contact Information
Primary practice address
5062 Ironside Dr
Waterford MI 48329-1637
Phone: (248) 623-2615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 4704106174 | Michigan |
Profile Details
| NPI number | 1700010840 |
|---|---|
| LBN Legal business name | Gozdzialski, Theodore John |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2009 |
| Last updated | May 4th, 2009 - about 17 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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