Bekker, Jerome
Bekker, Jerome is an sole proprietor health care provider with primary practice located at 44633 Joy Rd Ste 100 , Canton MI 48187-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bekker, Jerome can be contacted via phone (734) 453-5360.Contact Information
Primary practice address
44633 Joy Rd Ste 100
Canton MI 48187-1731
Phone: (734) 453-5360
Fax: (734) 453-5380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | JB010278 | Michigan |
Profile Details
| NPI number | 1336105014 |
|---|---|
| LBN Legal business name | Bekker, Jerome |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Feb 17th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336105014 | NPPES |
| Michigan | Other | 364570412 | TAX ID |
| Michigan | MEDICAID | 114731255 | TAX ID |
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