Kelly, Dennis G
Kelly, Dennis G is an sole proprietor health care provider with primary practice located at 27483 Dequindre Rd Suite 303A, Madison Heights MI 48071-3491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, Dennis G can be contacted via phone (248) 398-4614.Contact Information
Primary practice address
27483 Dequindre Rd Suite 303A
Madison Heights MI 48071-3491
Phone: (248) 398-4614
Fax: (248) 398-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DK008799 | Michigan |
Profile Details
| NPI number | 1619909793 |
|---|---|
| LBN Legal business name | Kelly, Dennis G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1619909793 | NPPES |
| Michigan | MEDICAID | 112727880 | |
| Michigan | Other | DK008799 |
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