Jupin, Michelle Renee

Jupin, Michelle Renee is an individual health care provider with primary practice located at 641 W 9 Mile Rd , Ferndale MI 48220-1779. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Jupin, Michelle Renee can be contacted via phone (248) 548-7363.

Contact Information

Primary practice address
641 W 9 Mile Rd Ferndale MI 48220-1779
Phone: (248) 548-7363
Fax: (248) 548-5304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002054 Michigan

Profile Details

NPI number 1659378552
LBN Legal business name Jupin, Michelle Renee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 15th, 2008 - 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 1659378552 NPPES
Michigan Other 38-2469733 TAX ID FOR PRIMARY LOCATI
Michigan Other 4856310140 TAX ID FOR PRIMARY LOCATI
Michigan MEDICAID 4617312 TAX ID FOR PRIMARY LOCATI

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