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
Phone: (248) 376-6046
Fax: (248) 569-7054
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730170234 | NPPES |
| Michigan | MEDICAID | 1045538230 |
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