Kresta, Pamela D

Kresta, Pamela D is an sole proprietor health care provider with primary practice located at 43450 W 10 Mile Rd , Novi MI 48375-3172. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kresta, Pamela D can be contacted via phone (248) 344-7420.

Contact Information

Primary practice address
43450 W 10 Mile Rd Novi MI 48375-3172
Fax: (248) 344-7423
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301009266 Michigan

Profile Details

NPI number 1568519528
LBN Legal business name Kresta, Pamela D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Aug 21st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568519528 NPPES
Michigan Other 416889 VO
Michigan Other 300040030 VO
Michigan Other 680F333010 VO
Michigan Other 680F321030 VO

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