Spyridakis, Jon

Spyridakis, Jon is an individual health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Spyridakis, Jon can be contacted via phone (313) 473-1605.

Contact Information

Primary practice address
468 Cadieux Rd Grosse Pointe MI 48230-1507
Phone: (313) 473-1605
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014934 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 02003291A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101014934 Michigan

Profile Details

NPI number 1326011966
LBN Legal business name Spyridakis, Jon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 25th, 2022 - about 3 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 1326011966 NPPES
Indiana Other 000000548950 ANTHEM
Indiana MEDICAID 4731380 ANTHEM
Indiana MEDICAID 200885280 ANTHEM
Indiana Other P00606683 ANTHEM

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