Dotson, Lori Jean

Dotson, Lori Jean is an individual health care provider with primary practice located at 965 S Bailey Ave , South Haven MI 49090-6743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dotson, Lori Jean can be contacted via phone (269) 639-2833.

Contact Information

Primary practice address
965 S Bailey Ave South Haven MI 49090-6743
Phone: (269) 639-2833
Fax: (269) 639-2776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074647 Michigan

Profile Details

NPI number 1639198179
LBN Legal business name Dotson, Lori Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 22nd, 2016 - about 8 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 1639198179 NPPES
Michigan Other 1417961137 BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
Michigan MEDICAID 4100004 T10 BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
Michigan MEDICAID 4574494 BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
Michigan MEDICAID 1639198179 BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER

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