The, Jeff Y

The, Jeff Y is an individual health care provider with primary practice located at 990 W Ann Arbor Trl Suite 202, Plymouth MI 48170-6204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. The, Jeff Y can be contacted via phone (734) 455-8497.

Contact Information

Primary practice address
990 W Ann Arbor Trl Suite 202 Plymouth MI 48170-6204
Phone: (734) 455-8497
Fax: (734) 455-7907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X JT011068 Michigan

Profile Details

NPI number 1710940242
LBN Legal business name The, Jeff Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1710940242 NPPES
Michigan Other 1158207454 BCBS
Michigan Other 103654 BCBS
Michigan MEDICAID 4530838 BCBS

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