Ciullo, Jerome V

Ciullo, Jerome V is an individual health care provider with primary practice located at 5600 Crooks Rd Ste 103, Troy MI 48098-2811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ciullo, Jerome V can be contacted via phone (248) 813-0002.

Contact Information

Primary practice address
5600 Crooks Rd Ste 103 Troy MI 48098-2811
Fax: (248) 813-0007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301039731 Michigan

Profile Details

NPI number 1720061187
LBN Legal business name Ciullo, Jerome V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
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 1720061187 NPPES
Massachusetts MEDICAID 1741033

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