Ducusin, Jeremiah Bacalso
Ducusin, Jeremiah Bacalso is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ducusin, Jeremiah Bacalso can be contacted via phone (586) 263-2300.Contact Information
Primary practice address
15855 19 Mile Rd
Clinton Township MI 48038-3504
Phone: (586) 263-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1164173001 |
|---|---|
| LBN Legal business name | Ducusin, Jeremiah Bacalso |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2022 |
| Last updated | Jan 12th, 2022 - about 4 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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