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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1760455869 NPPES
Michigan Other 0500428 BLUE CROSS ID
Michigan MEDICAID 1594887 BLUE CROSS ID

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