Israel, Robert N

Israel, Robert N is an sole proprietor health care provider with primary practice located at 124 Seymour Ave , Jackson MI 49202-3558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Israel, Robert N can be contacted via phone (517) 782-5700.

Contact Information

Primary practice address
124 Seymour Ave Jackson MI 49202-3558
Phone: (517) 782-5700
Fax: (517) 782-3141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RI4301052400 Michigan

Profile Details

NPI number 1083688261
LBN Legal business name Israel, Robert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Dec 15th, 2011 - about 13 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 1083688261 NPPES
Michigan MEDICAID 2602310

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