Panichella, Andrea Bree

Panichella, Andrea Bree is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Panichella, Andrea Bree can be contacted via phone (734) 246-8962.

Contact Information

Primary practice address
2333 Biddle Ave Wyandotte MI 48192-4668
Phone: (734) 246-8962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5502003760 Michigan

Profile Details

NPI number 1568043974
LBN Legal business name Panichella, Andrea Bree
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2021
Last updated Apr 16th, 2021 - about 5 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 1568043974 NPPES
Michigan MEDICAID 5502003760

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