Fantich, Jeffrey Edward

Fantich, Jeffrey Edward is an sole proprietor health care provider with primary practice located at 5829 W Maple Rd Suite 123, West Bloomfield MI 48322-2294. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fantich, Jeffrey Edward can be contacted via phone (248) 737-8066.

Contact Information

Primary practice address
5829 W Maple Rd Suite 123 West Bloomfield MI 48322-2294
Phone: (248) 737-8066
Fax: (248) 737-9093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006930 Michigan

Profile Details

NPI number 1386784692
LBN Legal business name Fantich, Jeffrey Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Feb 26th, 2013 - about 11 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 1386784692 NPPES
Michigan Other 461982008 TAX ID
Michigan Other 0F35177 TAX ID

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