Kendra, Jeremy S

Kendra, Jeremy S is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kendra, Jeremy S can be contacted via phone (586) 493-8098.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Phone: (586) 493-8098
Fax: (586) 493-8706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301084369 Michigan

Profile Details

NPI number 1386859775
LBN Legal business name Kendra, Jeremy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jun 1st, 2010 - about 15 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 1386859775 NPPES
Michigan Other 310E011330 BCBS MI GROUP PIN
Michigan Other CI8050 BCBS MI GROUP PIN

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