Bottesi, Kenneth J

Bottesi, Kenneth J is an individual health care provider with primary practice located at 45634 Schoenherr Rd , Shelby Township MI 48315-6024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bottesi, Kenneth J can be contacted via phone (586) 566-3000.

Contact Information

Primary practice address
45634 Schoenherr Rd Shelby Township MI 48315-6024
Phone: (586) 566-3000
Fax: (586) 566-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301059564 Michigan

Profile Details

NPI number 1164419008
LBN Legal business name Bottesi, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 9th, 2009 - about 17 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 1164419008 NPPES
Michigan MEDICAID 4910630
Michigan MEDICAID 4592447
Michigan MEDICAID 4910926

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