Al-Kharusy, Jacob

Al-Kharusy, Jacob is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Al-Kharusy, Jacob can be contacted via phone (616) 685-5000.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Phone: (616) 685-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301509113 Michigan

Profile Details

NPI number 1043876659
LBN Legal business name Al-Kharusy, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated Jan 26th, 2024 - about 2 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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