Kimelman, Joel P

Kimelman, Joel P is an individual health care provider with primary practice located at 3346 Lennon Road , Flint MI 48507-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kimelman, Joel P can be contacted via phone (810) 732-1919.

Contact Information

Primary practice address
3346 Lennon Road Flint MI 48507-1015
Phone: (810) 732-1919
Fax: (810) 732-3740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X JK005903 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101005903 Michigan

Profile Details

NPI number 1720042674
LBN Legal business name Kimelman, Joel P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2006
Last updated Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720042674 NPPES
Michigan MEDICAID 4398860
Michigan Other 4477536
Michigan Other 57100
Michigan Other 016618
Michigan Other 136504
Michigan Other 300Q264480

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