Kalo, Jacob
Kalo, Jacob is an sole proprietor health care provider with primary practice located at 15650 E 8 Mile Rd , Detroit MI 48205-1444. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Kalo, Jacob can be contacted via phone (313) 526-3600.Contact Information
Primary practice address
15650 E 8 Mile Rd
Detroit MI 48205-1444
Phone: (313) 526-3600
Fax: (313) 526-3603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 4301040053 | Michigan |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 4301040053 | Michigan |
Profile Details
NPI number | 1760455869 |
---|---|
LBN Legal business name | Kalo, Jacob |
Credentials | M.D., P.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 9th, 2006 |
Last updated | Nov 2nd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760455869 | NPPES |
Michigan | Other | 0500428 | BLUE CROSS ID |
Michigan | MEDICAID | 1594887 | BLUE CROSS ID |
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