Fireman, Mark Jay

Fireman, Mark Jay is an individual health care provider with primary practice located at 1901 Star Batt Dr , Rochester Hills MI 48309-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Fireman, Mark Jay can be contacted via phone (248) 844-4000.

Contact Information

Primary practice address
1901 Star Batt Dr Rochester Hills MI 48309-3712
Phone: (248) 844-4000
Fax: (248) 844-4072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME71180 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301067042 Michigan

Profile Details

NPI number 1376517987
LBN Legal business name Fireman, Mark Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 7th, 2014 - about 12 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 1376517987 NPPES
Florida MEDICAID 1824100

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