Free, Marcus Kyle

Free, Marcus Kyle is an individual health care provider with primary practice located at 2143 Derfla Dr , Saint Joseph MI 49085-9661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Free, Marcus Kyle can be contacted via phone (888) 550-5154.

Contact Information

Primary practice address
2143 Derfla Dr Saint Joseph MI 49085-9661
Fax: (888) 414-4545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301093347 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X L0799 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301093347 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X LO799 Texas

Profile Details

NPI number 1790949097
LBN Legal business name Free, Marcus Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Oct 27th, 2019 - about 6 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 1790949097 NPPES
Michigan MEDICAID 105431333

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