Dennis, Blaine
Dennis, Blaine is an individual health care provider with primary practice located at 44201 Dequindre Rd Ec, Troy MI 48085-1117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dennis, Blaine can be contacted via phone (248) 964-5111.Contact Information
Primary practice address
44201 Dequindre Rd Ec
Troy MI 48085-1117
Phone: (248) 964-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301051100 | Michigan |
Profile Details
| NPI number | 1427017052 |
|---|---|
| LBN Legal business name | Dennis, Blaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427017052 | NPPES |
| Michigan | MEDICAID | 2684970 |
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