Ducommun, Edmond J.

Ducommun, Edmond J. is an individual health care provider with primary practice located at 1540 Lake Lansing Rd Ste 101, Lansing MI 48912-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Ducommun, Edmond J. can be contacted via phone (517) 913-3810.

Contact Information

Primary practice address
1540 Lake Lansing Rd Ste 101 Lansing MI 48912-3707
Phone: (517) 913-3810
Fax: (517) 913-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301059003 Michigan

Profile Details

NPI number 1093767816
LBN Legal business name Ducommun, Edmond J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 3rd, 2019 - about 5 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 1093767816 NPPES
Michigan Other 200000001909 PHP
Michigan Other 1010729 PHP
Michigan Other 4594007 PHP
Michigan Other P00464732 PHP
Michigan Other 200000001909 PHP
Michigan Other 0250331789 PHP
Michigan Other 1010729 PHP
Michigan MEDICAID 4541831 PHP
Michigan Other 0M214400029 PHP
Michigan Other 1010729 PHP
Michigan MEDICAID 4848089 PHP

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