Yacoub, Michael F

Yacoub, Michael F is an individual health care provider with primary practice located at 19251 Mack Ave , Grosse Pointe Woods MI 48236-2893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yacoub, Michael F can be contacted via phone (313) 343-7280.

Contact Information

Primary practice address
19251 Mack Ave Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-7280
Fax: (313) 343-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301067942 Michigan

Profile Details

NPI number 1396739769
LBN Legal business name Yacoub, Michael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 18th, 2008 - about 16 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 1396739769 NPPES
Michigan MEDICAID 4106213
Michigan Other 0Q262160
Michigan Other 4301067942

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