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Contact Information

KOSTYANTYN SHKILNYY
48254 ELLINGTON DRIVE
MACOMB TOWNSHIP, MI48044
 Phone: 586-909-0891
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for KOSTYANTYN SHKILNYY · (Male)

NPI # 1699118455
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2013
Last updated 04/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 7501000299
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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