Pietrofesa, John Joseph
Pietrofesa, John Joseph is an sole proprietor health care provider with primary practice located at 74 W Long Lake Rd Suite 104, Bloomfield Hills MI 48304-2769. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pietrofesa, John Joseph can be contacted via phone (248) 642-6066.Contact Information
Primary practice address
74 W Long Lake Rd Suite 104
Bloomfield Hills MI 48304-2769
Phone: (248) 642-6066
Fax: (248) 642-5739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301005293 | Michigan |
Profile Details
| NPI number | 1649322181 |
|---|---|
| LBN Legal business name | Pietrofesa, John Joseph |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649322181 | NPPES |
| Other | 039078 | VALUE OPTIONS |
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