Zacks, Joel

Zacks, Joel is an individual health care provider with primary practice located at 15914 Jeanette St , Southfield MI 48075-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Zacks, Joel can be contacted via phone (248) 376-6046.

Contact Information

Primary practice address
15914 Jeanette St Southfield MI 48075-2013
Fax: (248) 569-7054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036726 Michigan

Profile Details

NPI number 1730170234
LBN Legal business name Zacks, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 23rd, 2012 - about 12 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 1730170234 NPPES
Michigan MEDICAID 1045538230

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