Jacobs, Michael John

Jacobs, Michael John is an individual health care provider with primary practice located at 26850 Providence Pkwy Suite 504, Novi MI 48374-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jacobs, Michael John can be contacted via phone (248) 662-4333.

Contact Information

Primary practice address
26850 Providence Pkwy Suite 504 Novi MI 48374-1213
Fax: (248) 662-3022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MJ068638 Michigan

Profile Details

NPI number 1568474195
LBN Legal business name Jacobs, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jun 9th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568474195 NPPES
Michigan MEDICAID 4569968

Popular Providers