Wilborn, Jerome
Wilborn, Jerome is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilborn, Jerome can be contacted via phone (734) 464-0887.Contact Information
Primary practice address
28050 Grand River Ave
Farmington Hills MI 48336-5919
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301057004 | Michigan |
Profile Details
| NPI number | 1750351516 |
|---|---|
| LBN Legal business name | Wilborn, Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 29th, 2015 - about 9 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 | 1750351516 | NPPES |
| Michigan | MEDICAID | 4637100 |
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