Boctor, Baher Kamelishacc

Boctor, Baher Kamelishacc is an individual health care provider with primary practice located at 3990 John R St , Detroit MI 48201-2018. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boctor, Baher Kamelishacc can be contacted via phone (313) 745-8521.

Contact Information

Primary practice address
3990 John R St Detroit MI 48201-2018
Phone: (313) 745-8521
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301056652 Michigan

Profile Details

NPI number 1699710129
LBN Legal business name Boctor, Baher Kamelishacc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Sep 20th, 2012 - about 12 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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