Nosanchuk, Jerry Leon

Nosanchuk, Jerry Leon is an sole proprietor health care provider with primary practice located at 31500 Telegraph Rd Suite 210, Bingham Farms MI 48025-4367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Nosanchuk, Jerry Leon can be contacted via phone (248) 644-7200.

Contact Information

Primary practice address
31500 Telegraph Rd Suite 210 Bingham Farms MI 48025-4367
Phone: (248) 644-7200
Fax: (248) 644-7210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 5101005933 Michigan

Profile Details

NPI number 1568529931
LBN Legal business name Nosanchuk, Jerry Leon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 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 1568529931 NPPES
Michigan Other 0158224424 BLUE CROSS BLUE SHIELD

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