Matesic, Krystal

Matesic, Krystal is an individual health care provider with primary practice located at 19701 Vernier Rd , Harper Woods MI 48225-1467. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Matesic, Krystal can be contacted via phone (313) 884-8920.

Contact Information

Primary practice address
19701 Vernier Rd Harper Woods MI 48225-1467
Phone: (313) 884-8920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501009514 Michigan

Profile Details

NPI number 1255352571
LBN Legal business name Matesic, Krystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 23rd, 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 1255352571 NPPES
Michigan Other 650H230510 BCBS
Michigan Other P00442694 BCBS

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