Fellows, Jonathan

Fellows, Jonathan is an individual health care provider with primary practice located at 28595 Orchard Lake Rd Suite 200, Farmington Hills MI 48334-2977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fellows, Jonathan can be contacted via phone (248) 553-0010.

Contact Information

Primary practice address
28595 Orchard Lake Rd Suite 200 Farmington Hills MI 48334-2977
Fax: (248) 553-5957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 012969 Michigan

Profile Details

NPI number 1376513655
LBN Legal business name Fellows, Jonathan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 22nd, 2022 - about 2 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 1376513655 NPPES
Michigan MEDICAID 4520081

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