Pesta, Carl Michael

Pesta, Carl Michael is an individual health care provider with primary practice located at 23575 15 Mile Rd , Clinton Township MI 48035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pesta, Carl Michael can be contacted via phone (586) 759-7494.

Contact Information

Primary practice address
23575 15 Mile Rd Clinton Township MI 48035
Phone: (586) 759-7494
Fax: (734) 677-7407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101005236 Michigan

Profile Details

NPI number 1235179201
LBN Legal business name Pesta, Carl Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1235179201 NPPES
Michigan MEDICAID 2798943

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