Kasle, Jerome Fitzgerald

Kasle, Jerome Fitzgerald is an individual health care provider with primary practice located at 701 S Ballenger Hwy , Flint MI 48532-3804. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kasle, Jerome Fitzgerald can be contacted via phone (810) 238-3603.

Contact Information

Primary practice address
701 S Ballenger Hwy Flint MI 48532-3804
Phone: (810) 238-3603
Fax: (810) 767-5194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301029475 Michigan

Profile Details

NPI number 1689668519
LBN Legal business name Kasle, Jerome Fitzgerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 6th, 2009 - about 16 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 1689668519 NPPES
Michigan Other 5587790001 NATIONAL GOVERMENT SERVIC
Michigan MEDICAID 4861868 NATIONAL GOVERMENT SERVIC

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