King, Jeffrey J

King, Jeffrey J is an individual health care provider with primary practice located at 30555 Southfield Rd Ste 510 , Southfield MI 48076-1221. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. King, Jeffrey J can be contacted via phone (248) 642-8263.

Contact Information

Primary practice address
30555 Southfield Rd Ste 510 Southfield MI 48076-1221
Phone: (248) 642-8263
Fax: (248) 642-6832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301071109 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301071109 Michigan
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 4301071109 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801102724 Michigan

Profile Details

NPI number 1467413856
LBN Legal business name King, Jeffrey J
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 24th, 2020 - about 4 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 1467413856 NPPES
Michigan MEDICAID 103490246
Michigan MEDICAID 104696432
Michigan Other JK071109
Michigan MEDICAID 103490237

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