Pung, Taylor Spitzley

Pung, Taylor Spitzley is an individual health care provider with primary practice located at 550 Munson Ave , Traverse City MI 49686-3580. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Pung, Taylor Spitzley can be contacted via phone (231) 935-8600.

Contact Information

Primary practice address
550 Munson Ave Traverse City MI 49686-3580
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501018395 Michigan

Profile Details

NPI number 1457061467
LBN Legal business name Pung, Taylor Spitzley
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2022
Last updated Nov 30th, 2022 - about 4 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 1457061467 NPPES
Michigan Other 5501018395 STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

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