Stathakios, James

Stathakios, James is an sole proprietor health care provider with primary practice located at 3400 Fleckenstein Rd Suite 1, Flint MI 48507-3042. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Other Service Providers / Specialist is his primary health care specialty. Stathakios, James can be contacted via phone (810) 877-7370.

Contact Information

Primary practice address
3400 Fleckenstein Rd Suite 1 Flint MI 48507-3042
Phone: (810) 877-7370
Fax: (810) 230-9338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X JS063353 Michigan
Other Service Providers / Specialist 174400000X 4301063353 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301063353 Michigan

Profile Details

NPI number 1053351247
LBN Legal business name Stathakios, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Nov 12th, 2014 - about 12 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 1053351247 NPPES
Michigan MEDICAID 103517420

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