Paonessa, Paul Dominic
Paonessa, Paul Dominic is an individual health care provider with primary practice located at 34301 23 Mile Rd Suite 100, Chesterfield MI 48047-4432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Paonessa, Paul Dominic can be contacted via phone (586) 725-1770.Contact Information
Primary practice address
34301 23 Mile Rd Suite 100
Chesterfield MI 48047-4432
Phone: (586) 725-1770
Fax: (586) 725-4080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301086103 | Michigan |
Profile Details
| NPI number | 1093985145 |
|---|---|
| LBN Legal business name | Paonessa, Paul Dominic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Aug 3rd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093985145 | NPPES |
| Michigan | Other | 0502335 | BCBSM PIN |
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