Fivenson, David Paul
Fivenson, David Paul is an sole proprietor health care provider with primary practice located at 3001 Miller Rd , Ann Arbor MI 48103-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as his primary health care specialty. Fivenson, David Paul can be contacted via phone (734) 222-9630.Contact Information
Primary practice address
3001 Miller Rd
Ann Arbor MI 48103-2122
Phone: (734) 222-9630
Fax: (734) 222-9631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 404817 | Michigan |
Profile Details
| NPI number | 1235193525 |
|---|---|
| LBN Legal business name | Fivenson, David Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jun 22nd, 2021 - about 3 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 | 1235193525 | NPPES |
| Michigan | MEDICAID | 4425476 |
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