Kelly, Jeffrey Alan

Kelly, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 4266 State St , Saginaw MI 48603-4028. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Radiology. Chiropractic Providers / Radiology is his primary health care specialty. Kelly, Jeffrey Alan can be contacted via phone (989) 792-6702.

Contact Information

Primary practice address
4266 State St Saginaw MI 48603-4028
Phone: (989) 792-6702
Fax: (989) 792-1128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X JK008789 Michigan
Chiropractic Providers / Radiology 111NR0200X JK008789 Michigan

Profile Details

NPI number 1932159928
LBN Legal business name Kelly, Jeffrey Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Feb 16th, 2023 - about last year

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 1932159928 NPPES
Michigan Other 0G30188 BCBS PIN
Michigan Other 950G311530 BCBS PIN
Michigan Other JK008789 BCBS PIN
Michigan Other 0N24830 BCBS PIN

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