Siegel, Michael Jason

Siegel, Michael Jason is an individual health care provider with primary practice located at 29201 Telegraph Road Suite 301, Southfield MI 48034-7646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Siegel, Michael Jason can be contacted via phone (248) 356-0098.

Contact Information

Primary practice address
29201 Telegraph Road Suite 301 Southfield MI 48034-7646
Phone: (248) 356-0098
Fax: (248) 356-0424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 4301095046 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301095046 Michigan

Profile Details

NPI number 1811217912
LBN Legal business name Siegel, Michael Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Aug 17th, 2020 - about 5 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 1811217912 NPPES
Michigan MEDICAID 1811217912

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