Egan, Robert J

Egan, Robert J is an sole proprietor health care provider with primary practice located at 19305 W 7 Mile Rd , Detroit MI 48219-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Egan, Robert J can be contacted via phone (313) 549-3149.

Contact Information

Primary practice address
19305 W 7 Mile Rd Detroit MI 48219-2718
Phone: (313) 549-3149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301-074125 Michigan

Profile Details

NPI number 1679557789
LBN Legal business name Egan, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Apr 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679557789 NPPES
Michigan Other 0828263 BLUE CARE NETWORK
Michigan Other H76263 BLUE CARE NETWORK
Michigan Other 0808282632 BLUE CARE NETWORK
Michigan MEDICAID 4473339 BLUE CARE NETWORK

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