Kushner, Roger Matthew

Kushner, Roger Matthew is an individual health care provider with primary practice located at 20276 Middlebelt Rd Suite 2, Livonia MI 48152-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Kushner, Roger Matthew can be contacted via phone (248) 476-4900.

Contact Information

Primary practice address
20276 Middlebelt Rd Suite 2 Livonia MI 48152-2054
Phone: (248) 476-4900
Fax: (248) 476-5435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 5101006358 Michigan

Profile Details

NPI number 1962467621
LBN Legal business name Kushner, Roger Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 1st, 2018 - about 6 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 1962467621 NPPES
Michigan Other 160H261380 BCBS/BCN
Michigan Other 47523 BCBS/BCN
Michigan Other E26610 BCBS/BCN
Michigan Other 4033701 BCBS/BCN
Michigan Other 110978 BCBS/BCN
Michigan MEDICAID 4372550 BCBS/BCN

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