Declaire, Jeffrey H

Declaire, Jeffrey H is an individual health care provider with primary practice located at 1135 W University Dr Suite 450, Rochester MI 48307-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Declaire, Jeffrey H can be contacted via phone (248) 650-2400.

Contact Information

Primary practice address
1135 W University Dr Suite 450 Rochester MI 48307-1871
Phone: (248) 650-2400
Fax: (248) 650-4596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 4301045096 Michigan

Profile Details

NPI number 1265442446
LBN Legal business name Declaire, Jeffrey H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 16th, 2018 - about 6 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 1265442446 NPPES
Michigan Other 0632203 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1265442446 BLUE CROSS BLUE SHIELD

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