Short, Michael Jonathan
Short, Michael Jonathan is an sole proprietor health care provider with primary practice located at 42505 Woodward Ave. Suite 103, Bloomfield Hills MI 48304-5147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Short, Michael Jonathan can be contacted via phone (248) 334-6200.Contact Information
Primary practice address
42505 Woodward Ave. Suite 103
Bloomfield Hills MI 48304-5147
Phone: (248) 334-6200
Fax: (248) 334-3660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301029412 | Michigan |
Profile Details
| NPI number | 1700948072 |
|---|---|
| LBN Legal business name | Short, Michael Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Sep 27th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700948072 | NPPES |
| Michigan | Other | 0638423 | BLUE CROSS,OTHER INSURACE |
| Michigan | MEDICAID | 1065073-10-0 | BLUE CROSS,OTHER INSURACE |
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