Minnick, Paul David
Minnick, Paul David is an individual health care provider with primary practice located at 71 Bevier St , Shelby MI 49455-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Minnick, Paul David can be contacted via phone (231) 861-2172.Contact Information
Primary practice address
71 Bevier St
Shelby MI 49455-1209
Phone: (231) 861-2172
Fax: (231) 861-5100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101010846 | Michigan |
Profile Details
| NPI number | 1700982485 |
|---|---|
| LBN Legal business name | Minnick, Paul David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Apr 22nd, 2016 - about 9 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 | 1700982485 | NPPES |
| Michigan | Other | 0851903535 | BCBS OF MICHIGAN |
| Michigan | MEDICAID | 114135476 | BCBS OF MICHIGAN |
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