Kutcher, Jeffrey S

Kutcher, Jeffrey S is an individual health care provider with primary practice located at 8273 Grand River Rd 210 , Brighton MI 48114-9346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kutcher, Jeffrey S can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
8273 Grand River Rd 210 Brighton MI 48114-9346
Fax: (866) 939-2673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2084S0010X 4301073973 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301073973 Michigan

Profile Details

NPI number 1194806570
LBN Legal business name Kutcher, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 3rd, 2023 - about last year

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 1194806570 NPPES
Michigan MEDICAID 4417296

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