Zeidman, Lawrence Adam
Zeidman, Lawrence Adam is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Zeidman, Lawrence Adam can be contacted via phone (800) 653-6568.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036118709 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 036118709 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 4301508445 | Michigan |
Profile Details
| NPI number | 1467608943 |
|---|---|
| LBN Legal business name | Zeidman, Lawrence Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2008 |
| Last updated | Jan 16th, 2023 - about last year |
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 | 1467608943 | NPPES |
| Illinois | Other | 036118709 | STATE LICENSE |
| Illinois | MEDICAID | 036118709 | STATE LICENSE |
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