Shaheen, Kenneth W
Shaheen, Kenneth W is an sole proprietor health care provider with primary practice located at 2585 Crooks Rd , Troy MI 48084-4702. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shaheen, Kenneth W can be contacted via phone (248) 283-1110.Contact Information
Primary practice address
2585 Crooks Rd
Troy MI 48084-4702
Phone: (248) 283-1110
Fax: (248) 283-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2086S0122X | Michigan |
Profile Details
| NPI number | 1114928199 |
|---|---|
| LBN Legal business name | Shaheen, Kenneth W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 7th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114928199 | NPPES |
| Michigan | MEDICAID | 2761424 |
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