Soltysiak, Robert M.

Soltysiak, Robert M. is an individual health care provider with primary practice located at 917 W. Milham Ave , Portage MI 49024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Soltysiak, Robert M. can be contacted via phone (269) 567-9806.

Contact Information

Primary practice address
917 W. Milham Ave Portage MI 49024
Phone: (269) 567-9806
Fax: (269) 567-9808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101011392 Michigan

Profile Details

NPI number 1740267947
LBN Legal business name Soltysiak, Robert M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Dec 8th, 2015 - about 11 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 1740267947 NPPES
Michigan MEDICAID 4574672

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