Jradi, Ali Ahmed

Jradi, Ali Ahmed is an individual health care provider with primary practice located at 2887 Krafft Rd Ste 1000, Port Huron MI 48060. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jradi, Ali Ahmed can be contacted via phone (810) 984-1994.

Contact Information

Primary practice address
2887 Krafft Rd Ste 1000 Port Huron MI 48060
Phone: (810) 984-1994
Fax: (810) 984-3266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008995 Michigan

Profile Details

NPI number 1205883923
LBN Legal business name Jradi, Ali Ahmed
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 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 1205883923 NPPES
Michigan MEDICAID 4776847

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