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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1386784692 | NPPES |
| Michigan | Other | 461982008 | TAX ID |
| Michigan | Other | 0F35177 | TAX ID |
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