| David Ligeski Llc | |
|
209 E Washington Ave Ste 259b Jackson MI 49201-2399 | |
| (517) 225-3005 | |
| Not Available |
| Full Name | David Ligeski Llc |
|---|---|
| Speciality | Social Worker |
| Location | 209 E Washington Ave Ste 259b, Jackson, Michigan |
| Authorized Official Name and Position | David Ligeski (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5172253005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Ligeski Llc 209 E Washington Ave Ste 259b Jackson MI 49201-2399 Ph: (517) 225-3005 | David Ligeski Llc 209 E Washington Ave Ste 259b Jackson MI 49201-2399 Ph: (517) 225-3005 |
| NPI Number | 1225746464 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Medicare PECOS PAC ID | 3779954722 |
|---|---|
| Medicare Enrollment ID | O20230130002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225746464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Ligeski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124212170 PECOS PAC ID: 4587810197 Enrollment ID: I20120815000276 |
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