Daitch, Jay Maurice

Daitch, Jay Maurice is an individual health care provider with primary practice located at 20206 Farmington Rd , Livonia MI 48152-1412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daitch, Jay Maurice can be contacted via phone (248) 476-4724.

Contact Information

Primary practice address
20206 Farmington Rd Livonia MI 48152-1412
Phone: (248) 476-4724
Fax: (248) 476-7091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301037594 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301037594 Michigan

Profile Details

NPI number 1023000783
LBN Legal business name Daitch, Jay Maurice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 27th, 2010 - about 16 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 1023000783 NPPES
Michigan MEDICAID 1335428

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