Lebryk, Michael Gerard
Lebryk, Michael Gerard is an individual health care provider with primary practice located at 20853 Mack Ave , Grosse Pointe Woods MI 48236-1456. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lebryk, Michael Gerard can be contacted via phone (313) 881-4480.Contact Information
Primary practice address
20853 Mack Ave
Grosse Pointe Woods MI 48236-1456
Phone: (313) 881-4480
Fax: (313) 881-7449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302026288 | Michigan |
Profile Details
| NPI number | 1043257371 |
|---|---|
| LBN Legal business name | Lebryk, Michael Gerard |
| Credentials | R.PH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1043257371 | NPPES |
| Other | 2348692 | NABP | |
| MEDICAID | 2740836 | NABP |
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