Kezlarian, Jeffrey Avedis
Kezlarian, Jeffrey Avedis is an sole proprietor health care provider with primary practice located at 1760 S Telegraph Rd Ste 220 , Bloomfield Hills MI 48302-0182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kezlarian, Jeffrey Avedis can be contacted via phone (517) 882-3732.Contact Information
Primary practice address
1760 S Telegraph Rd Ste 220
Bloomfield Hills MI 48302-0182
Phone: (517) 882-3732
Fax: (517) 882-3633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | JK052428 | Michigan |
Profile Details
| NPI number | 1548351075 |
|---|---|
| LBN Legal business name | Kezlarian, Jeffrey Avedis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 29th, 2024 - about 10 months 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 | 1548351075 | NPPES |
| Michigan | MEDICAID | 1909467 | |
| Michigan | Other | 382896652 |
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