Wirick, Deanna Renee

Wirick, Deanna Renee is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Ste 110 , Saint Clair Shores MI 48081-3202. 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. Wirick, Deanna Renee can be contacted via phone (586) 498-3500.

Contact Information

Primary practice address
20952 E 12 Mile Rd Ste 110 Saint Clair Shores MI 48081-3202
Fax: (586) 498-3510
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501010198 Michigan

Profile Details

NPI number 1942701735
LBN Legal business name Wirick, Deanna Renee
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 8 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 1942701735 NPPES
Michigan Other F228781 BCBSM

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