Kushner, Steven Alan
Kushner, Steven Alan is an sole proprietor health care provider with primary practice located at 3272 E 12 Mile Rd Ste 106 Deerfield Meadows, Warren MI 48092-5622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Kushner, Steven Alan can be contacted via phone (586) 751-3650.Contact Information
Primary practice address
3272 E 12 Mile Rd Ste 106 Deerfield Meadows
Warren MI 48092-5622
Phone: (586) 751-3650
Fax: (586) 757-3505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | SK008923 | Michigan |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 989940 | Michigan |
Profile Details
NPI number | 1164408985 |
---|---|
LBN Legal business name | Kushner, Steven Alan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2005 |
Last updated | Aug 19th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164408985 | NPPES |
Michigan | Other | 101660 | GREAT LAKES HEALTH PLAN |
Michigan | Other | 123081 | GREAT LAKES HEALTH PLAN |
Michigan | MEDICAID | 3014304 TYPE 11 | GREAT LAKES HEALTH PLAN |
Michigan | Other | 123081 | GREAT LAKES HEALTH PLAN |
Michigan | Other | 4242651 | GREAT LAKES HEALTH PLAN |
Michigan | Other | 5630294 | GREAT LAKES HEALTH PLAN |
Michigan | Other | 123081 | GREAT LAKES HEALTH PLAN |
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