Kissoondial, Prem Barry

Kissoondial, Prem Barry is an individual health care provider with primary practice located at 2591 S Leaton Rd , Mount Pleasant MI 48858-8421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kissoondial, Prem Barry can be contacted via phone (989) 775-4600.

Contact Information

Primary practice address
2591 S Leaton Rd Mount Pleasant MI 48858-8421
Phone: (989) 775-4600
Fax: (989) 775-4680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301066299 Michigan

Profile Details

NPI number 1437246451
LBN Legal business name Kissoondial, Prem Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 6th, 2023 - about 2 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 1437246451 NPPES
Michigan Other 010C760120 BLUE CROSS BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 1437246451 BLUE CROSS BLUE SHIELD OF MICHIGAN

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