Daitch, Jay Maurice
Daitch, Jay Maurice is an individual health care provider with primary practice located at 20206 Farmington Rd , Livonia MI 48152-1412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daitch, Jay Maurice can be contacted via phone (248) 476-4724.Contact Information
Primary practice address
20206 Farmington Rd
Livonia MI 48152-1412
Phone: (248) 476-4724
Fax: (248) 476-7091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301037594 | Michigan |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301037594 | Michigan |
Profile Details
NPI number | 1023000783 |
---|---|
LBN Legal business name | Daitch, Jay Maurice |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Jul 27th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023000783 | NPPES |
Michigan | MEDICAID | 1335428 |
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