Rubin, Jeffrey R

Rubin, Jeffrey R is an individual health care provider with primary practice located at 4160 John R St Suite 615, Detroit MI 48201-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rubin, Jeffrey R can be contacted via phone (313) 745-4195.

Contact Information

Primary practice address
4160 John R St Suite 615 Detroit MI 48201-2020
Phone: (313) 745-4195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301090978 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 22039 South Carolina

Profile Details

NPI number 1760436430
LBN Legal business name Rubin, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 7th, 2007 - about 18 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 1760436430 NPPES
South Carolina MEDICAID T62385

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