Segaloff, David Simon

Segaloff, David Simon is an individual health care provider with primary practice located at 26850 Providence Pkwy , Novi MI 48374-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Segaloff, David Simon can be contacted via phone (248) 465-4847.

Contact Information

Primary practice address
26850 Providence Pkwy Novi MI 48374-1213
Fax: (248) 465-4477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301054871 Michigan

Profile Details

NPI number 1669473666
LBN Legal business name Segaloff, David Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Oct 26th, 2010 - about 14 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 1669473666 NPPES
Michigan MEDICAID 291647510

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