Kurek, Jason Bernard James

Kurek, Jason Bernard James is an individual health care provider with primary practice located at 17515 West 9 Mile Rd Suite 340, Southfield MI 48075. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Kurek, Jason Bernard James can be contacted via phone (248) 569-4000.

Contact Information

Primary practice address
17515 West 9 Mile Rd Suite 340 Southfield MI 48075
Phone: (248) 569-4000
Fax: (248) 569-5771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001753 Michigan
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901001753 Michigan

Profile Details

NPI number 1104865476
LBN Legal business name Kurek, Jason Bernard James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 26th, 2007 - about 17 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 1104865476 NPPES
Michigan Other 480F37288 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 3258640 BLUE CROSS BLUE SHIELD
Michigan Other 480023791 BLUE CROSS BLUE SHIELD

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