Gervin, Ronald
Gervin, Ronald is an sole proprietor health care provider with primary practice located at 1852 W Grand Blvd , Detroit MI 48208-1006. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gervin, Ronald can be contacted via phone (313) 894-8444.Contact Information
Primary practice address
1852 W Grand Blvd
Detroit MI 48208-1006
Phone: (313) 894-8444
Fax: (313) 894-5542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1023358413 |
|---|---|
| LBN Legal business name | Gervin, Ronald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2013 |
| Last updated | Feb 21st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023358413 | NPPES |
| Michigan | MEDICAID | 381917278 |
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