Kartush, Jack M

Kartush, Jack M is an individual health care provider with primary practice located at 30055 Northwestern Hwy Ste 101, Farmington Hills MI 48334-3230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kartush, Jack M can be contacted via phone (248) 865-4444.

Contact Information

Primary practice address
30055 Northwestern Hwy Ste 101 Farmington Hills MI 48334-3230
Fax: (248) 865-6161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301041062 Michigan

Profile Details

NPI number 1508847740
LBN Legal business name Kartush, Jack M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 17th, 2011 - about 13 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 1508847740 NPPES
Michigan MEDICAID 3245286

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