Jefson, Richard T

Jefson, Richard T is an individual health care provider with primary practice located at 6565 W Main St , Kalamazoo MI 49009-6114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jefson, Richard T can be contacted via phone (269) 372-8490.

Contact Information

Primary practice address
6565 W Main St Kalamazoo MI 49009-6114
Fax: (269) 372-8473
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301032154 Michigan

Profile Details

NPI number 1750342903
LBN Legal business name Jefson, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 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 1750342903 NPPES
Michigan MEDICAID 4199553

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