Panos, John C

Panos, John C is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Ste 200 , Saint Clair Shores MI 48081-3203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Panos, John C can be contacted via phone (586) 771-4820.

Contact Information

Primary practice address
20952 E 12 Mile Rd Ste 200 Saint Clair Shores MI 48081-3203
Phone: (586) 771-4820
Fax: (586) 771-6620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 070447 Michigan

Profile Details

NPI number 1346293412
LBN Legal business name Panos, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 24th, 2023 - about 3 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 1346293412 NPPES
Michigan MEDICAID 4689705
Michigan Other P00176795
Michigan Other 2206344162

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