Joe, Lonnie

Joe, Lonnie is an sole proprietor health care provider with primary practice located at 22255 Greenfield Rd Ste 280, Southfield MI 48075-3712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Joe, Lonnie can be contacted via phone (248) 557-5227.

Contact Information

Primary practice address
22255 Greenfield Rd Ste 280 Southfield MI 48075-3712
Fax: (248) 557-1732
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X LJ041569 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301041569 Michigan

Profile Details

NPI number 1972657260
LBN Legal business name Joe, Lonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Feb 14th, 2024 - about 10 months 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 1972657260 NPPES
Michigan Other 382494448 TAX ID
Michigan MEDICAID 1490579 TAX ID
Michigan Other 1106317218 TAX ID

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