Pradko, John R

Pradko, John R is an individual health care provider with primary practice located at 33720 Harper Ave Suite A, Clinton Twp MI 48035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pradko, John R can be contacted via phone (586) 294-5210.

Contact Information

Primary practice address
33720 Harper Ave Suite A Clinton Twp MI 48035
Phone: (586) 294-5210
Fax: (586) 294-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X JP010124 Michigan

Profile Details

NPI number 1619956497
LBN Legal business name Pradko, John R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 10th, 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 1619956497 NPPES
Michigan MEDICAID 3223681

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