Sitner, Jerome

Sitner, Jerome is an individual health care provider with primary practice located at 4771 Michigan Ave , Detroit MI 48210-3247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sitner, Jerome can be contacted via phone (313) 897-2600.

Contact Information

Primary practice address
4771 Michigan Ave Detroit MI 48210-3247
Phone: (313) 897-2600
Fax: (313) 897-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X JS005168 Michigan

Profile Details

NPI number 1164492500
LBN Legal business name Sitner, Jerome
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 29th, 2007 - about 18 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 1164492500 NPPES
Michigan Other 381886254 COMMERICAL NUMBERS
Michigan Other 0P01030 COMMERICAL NUMBERS
Michigan MEDICAID 1117984 COMMERICAL NUMBERS
Michigan Other 1164492500 COMMERICAL NUMBERS
Michigan Other P0103003 COMMERICAL NUMBERS
Michigan Other 0858218024 COMMERICAL NUMBERS
Michigan Other 1285813154 COMMERICAL NUMBERS

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