Rubin, Michael Nathan

Rubin, Michael Nathan is an sole proprietor health care provider with primary practice located at 5584 Willow Valley Dr , West Bloomfield MI 48322-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rubin, Michael Nathan can be contacted via phone (248) 851-5736.

Contact Information

Primary practice address
5584 Willow Valley Dr West Bloomfield MI 48322-1803
Fax: (248) 851-5736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101006206 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 006628 Arizona

Profile Details

NPI number 1205824505
LBN Legal business name Rubin, Michael Nathan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Sep 16th, 2015 - about 9 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 1205824505 NPPES
Michigan MEDICAID 1099910

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