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
Phone: (888) 550-5154
Fax: (888) 414-4545
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790949097 | NPPES |
Michigan | MEDICAID | 105431333 |
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