Zaks, Jeffrey M

Zaks, Jeffrey M is an individual health care provider with primary practice located at 22250 Providence Dr 705, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zaks, Jeffrey M can be contacted via phone (248) 552-9858.

Contact Information

Primary practice address
22250 Providence Dr 705 Southfield MI 48075-4825
Phone: (248) 552-9858
Fax: (248) 552-9510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301033645 Michigan

Profile Details

NPI number 1396746806
LBN Legal business name Zaks, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 22nd, 2014 - about 10 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 1396746806 NPPES
Michigan MEDICAID 193549410

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