Rebock, Michael David

Rebock, Michael David is an individual health care provider with primary practice located at 28080 Grand River 208 N, Farmington Hills MI 48336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rebock, Michael David can be contacted via phone (248) 478-7733.

Contact Information

Primary practice address
28080 Grand River 208 N Farmington Hills MI 48336
Phone: (248) 478-7733
Fax: (248) 478-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MR011373 Michigan

Profile Details

NPI number 1982796355
LBN Legal business name Rebock, Michael David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 16th, 2013 - about 11 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 1982796355 NPPES
Other 020F31144 BCBS OF MI
MEDICAID 323358011 BCBS OF MI

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