Zayid, Jerry E
Zayid, Jerry E is an sole proprietor health care provider with primary practice located at 2559 Union Lake Rd , Commerce Twp MI 48382-3555. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Zayid, Jerry E can be contacted via phone (248) 245-3392.Contact Information
Primary practice address
2559 Union Lake Rd
Commerce Twp MI 48382-3555
Phone: (248) 245-3392
Fax: (248) 363-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 5901001059 | Michigan |
Profile Details
| NPI number | 1871545020 |
|---|---|
| LBN Legal business name | Zayid, Jerry E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 3rd, 2014 - about 11 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 | 1871545020 | NPPES |
| Michigan | Other | O-EO-2656-O | BLUE CROSS SUPPLIER PIN |
| Michigan | Other | 0D41146 | BLUE CROSS SUPPLIER PIN |
| Michigan | Other | OEO3185 | BLUE CROSS SUPPLIER PIN |
| Michigan | MEDICAID | 103578 | BLUE CROSS SUPPLIER PIN |
| Michigan | Other | OEO2782 | BLUE CROSS SUPPLIER PIN |
| Michigan | Other | 5501440 | BLUE CROSS SUPPLIER PIN |
| Michigan | Other | OH71150 | BLUE CROSS SUPPLIER PIN |
| Michigan | MEDICAID | 2121060 | BLUE CROSS SUPPLIER PIN |
| Michigan | MEDICAID | 2594961 | BLUE CROSS SUPPLIER PIN |
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