Kudzia, Jeremy

Kudzia, Jeremy is an individual health care provider with primary practice located at 38251 S Groesbeck Hwy , Clinton Township MI 48036-1929. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Kudzia, Jeremy can be contacted via phone (586) 469-6210.

Contact Information

Primary practice address
38251 S Groesbeck Hwy Clinton Township MI 48036-1929
Phone: (586) 469-6210
Fax: (586) 469-7960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X 3201013768 Michigan
Nursing Service Providers / Registered Nurse 163W00000X 4704307001 Michigan

Profile Details

NPI number 1174922884
LBN Legal business name Kudzia, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Aug 19th, 2014 - about 10 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 1174922884 NPPES
Other 386004868 MEDICARE
MEDICAID 386004868 MEDICARE

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