Michaelson, Jefferey E

Michaelson, Jefferey E is an individual health care provider with primary practice located at 22250 Providence Dr Suite 401, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Michaelson, Jefferey E can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
22250 Providence Dr Suite 401 Southfield MI 48075-4825
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301066261 Michigan

Profile Details

NPI number 1003886342
LBN Legal business name Michaelson, Jefferey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 17th, 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 1003886342 NPPES
Michigan MEDICAID 4337650

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