Cruz, Alvan R

Cruz, Alvan R is an individual health care provider with primary practice located at 4201 Saint Antoine St , Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cruz, Alvan R can be contacted via phone (313) 745-3000.

Contact Information

Primary practice address
4201 Saint Antoine St Detroit MI 48201-2153
Phone: (313) 745-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301055070 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301055070 Michigan

Profile Details

NPI number 1114987187
LBN Legal business name Cruz, Alvan R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 18th, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114987187 NPPES
Michigan Other AC055070 BC/BS OF MI
Michigan MEDICAID 103309516 BC/BS OF MI
Michigan MEDICAID 103309534 BC/BS OF MI

Popular Providers