Jettie, Ronald Charles

Jettie, Ronald Charles is an individual health care provider with primary practice located at 30405 W 12 Mile Rd , Farmington Hills MI 48334. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jettie, Ronald Charles can be contacted via phone (248) 477-5255.

Contact Information

Primary practice address
30405 W 12 Mile Rd Farmington Hills MI 48334
Fax: (248) 474-4383
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301004377 Michigan

Profile Details

NPI number 1275632218
LBN Legal business name Jettie, Ronald Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 19th, 2012 - about 12 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 1275632218 NPPES
Michigan Other OF35161 BCBS

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