Agrusa, Jerome James

Agrusa, Jerome James is an individual health care provider with primary practice located at 16651 21 Mile Rd , Macomb MI 48044-2603. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Agrusa, Jerome James can be contacted via phone (586) 263-5611.

Contact Information

Primary practice address
16651 21 Mile Rd Macomb MI 48044-2603
Phone: (586) 263-5611
Fax: (586) 263-5130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301004758 Michigan

Profile Details

NPI number 1659325413
LBN Legal business name Agrusa, Jerome James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1659325413 NPPES
Michigan MEDICAID 1771391
Michigan Other 950E01772

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