Kelly, John Joseph
Kelly, John Joseph is an sole proprietor health care provider with primary practice located at 115 S Evans St , Tecumseh MI 49286-1949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, John Joseph can be contacted via phone (517) 423-9300.Contact Information
Primary practice address
115 S Evans St
Tecumseh MI 49286-1949
Phone: (517) 423-9300
Fax: (517) 423-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301057968 | Michigan |
Profile Details
| NPI number | 1295726628 |
|---|---|
| LBN Legal business name | Kelly, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295726628 | NPPES |
| Michigan | Other | 0804610981 | BCBS |
| Michigan | Other | 4301057968 | BCBS |
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