Provizer, Jeffrey Louis

Provizer, Jeffrey Louis is an individual health care provider with primary practice located at 32255 Northwestern Hwy Ste 130 , Farmington Hills MI 48334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Provizer, Jeffrey Louis can be contacted via phone (248) 723-5880.

Contact Information

Primary practice address
32255 Northwestern Hwy Ste 130 Farmington Hills MI 48334
Phone: (248) 723-5880
Fax: (248) 723-5889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013058 Michigan

Profile Details

NPI number 1316931405
LBN Legal business name Provizer, Jeffrey Louis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 11th, 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 1316931405 NPPES
Michigan MEDICAID 1316931405

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