Jakubowski, Michael S

Jakubowski, Michael S is an individual health care provider with primary practice located at 350 Lafayette Ave Se Suite 301, Grand Rapids MI 49503-4656. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Jakubowski, Michael S can be contacted via phone (616) 459-0801.

Contact Information

Primary practice address
350 Lafayette Ave Se Suite 301 Grand Rapids MI 49503-4656
Phone: (616) 459-0801
Fax: (616) 459-4065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X MJ043600 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MJ043600 Michigan

Profile Details

NPI number 1104863646
LBN Legal business name Jakubowski, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 11th, 2013 - about 11 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 1104863646 NPPES
Michigan Other MJ043600 STATE LICENSE
Michigan MEDICAID 1839854 STATE LICENSE

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