Uzansky, Jerry

Uzansky, Jerry 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. Uzansky, Jerry 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 GU005238 Michigan

Profile Details

NPI number 1477523892
LBN Legal business name Uzansky, Jerry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 29th, 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 1477523892 NPPES
Michigan Other P01030002 MEDICARE INDIVIDUAL #S
Michigan MEDICAID 1117993 MEDICARE INDIVIDUAL #S
Michigan Other 0258220204 MEDICARE INDIVIDUAL #S
Michigan Other 0P01030 MEDICARE INDIVIDUAL #S
Michigan Other 1477523892 MEDICARE INDIVIDUAL #S
Michigan Other 1285813154 MEDICARE INDIVIDUAL #S

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