Provider Demographics
NPI:1447633045
Name:KRASINSKI, TONY
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:KRASINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 COURT ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4116
Mailing Address - Country:US
Mailing Address - Phone:989-233-5849
Mailing Address - Fax:989-695-4740
Practice Address - Street 1:620 AMES ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4238
Practice Address - Country:US
Practice Address - Phone:989-233-5849
Practice Address - Fax:989-695-4740
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI92-0178551OtherFEDERAL ID NUMBER