Himes, Jon Marc

Himes, Jon Marc is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 344, Marquette MI 49855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Himes, Jon Marc can be contacted via phone (906) 225-3910.

Contact Information

Primary practice address
1414 W Fair Ave Ste 344 Marquette MI 49855
Phone: (906) 225-3910
Fax: (906) 225-4529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040869 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 040869 Michigan

Profile Details

NPI number 1326022013
LBN Legal business name Himes, Jon Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 21st, 2009 - about 15 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 1326022013 NPPES
Michigan MEDICAID 3138357
Michigan Other 381358036011
Michigan Other 110030843
Michigan MEDICAID 4894386

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