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Contact Information

GALINA PETLAKH
608 PURDY ST
BIRMINGHAM, MI48009-1795
 Phone: 248-320-7295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for GALINA PETLAKH · (Female)

NPI Number 1992511588
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2024
Last updated 01/11/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704211679
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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