Belen, Jack E

Belen, Jack E is an individual health care provider with primary practice located at 28080 Grand River Ave Ste 306N , Farmington Hills MI 48336-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Belen, Jack E can be contacted via phone (947) 521-8968.

Contact Information

Primary practice address
28080 Grand River Ave Ste 306N Farmington Hills MI 48336-5966
Phone: (947) 521-8968
Fax: (248) 471-8061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5101006431 Michigan

Profile Details

NPI number 1093792053
LBN Legal business name Belen, Jack E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 21st, 2022 - about 2 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 1093792053 NPPES
Michigan MEDICAID 21770011

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