Citron, Alissa N

Citron, Alissa N is an individual health care provider with primary practice located at 29645 W 14 Mile Rd Suite 110, Farmington Hills MI 48334-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Citron, Alissa N can be contacted via phone (248) 254-6000.

Contact Information

Primary practice address
29645 W 14 Mile Rd Suite 110 Farmington Hills MI 48334-1666
Fax: (248) 254-6001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014828 Michigan

Profile Details

NPI number 1487638755
LBN Legal business name Citron, Alissa N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 23rd, 2020 - about 4 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 1487638755 NPPES
Michigan MEDICAID 1487638755

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