Jassenoff, Samuel Joseph

Jassenoff, Samuel Joseph is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jassenoff, Samuel Joseph can be contacted via phone (248) 471-8371.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Phone: (248) 471-8371
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101005531 Michigan

Profile Details

NPI number 1629148275
LBN Legal business name Jassenoff, Samuel Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629148275 NPPES
Michigan MEDICAID 4371179

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