Agrest, Kevin A

Agrest, Kevin A is an individual health care provider with primary practice located at 21647 Ryan Rd , Warren MI 48091-2795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Agrest, Kevin A can be contacted via phone (586) 757-4200.

Contact Information

Primary practice address
21647 Ryan Rd Warren MI 48091-2795
Phone: (586) 757-4200
Fax: (586) 757-8332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014983 Michigan

Profile Details

NPI number 1386625606
LBN Legal business name Agrest, Kevin A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Aug 16th, 2012 - about 13 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 1386625606 NPPES
Michigan Other 5101014983 STATE LICENSE NUMBER
Michigan Other 0858214695 STATE LICENSE NUMBER

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