Halvorsen, Jake Graehm
Halvorsen, Jake Graehm is an sole proprietor health care provider with primary practice located at 11885 E 12 Mile Rd Ste. 300A, Warren MI 48093-3474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Halvorsen, Jake Graehm can be contacted via phone (586) 582-6630.Contact Information
Primary practice address
11885 E 12 Mile Rd Ste. 300A
Warren MI 48093-3474
Phone: (586) 582-6630
Fax: (586) 582-6631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101019943 | Michigan |
Profile Details
| NPI number | 1497015002 |
|---|---|
| LBN Legal business name | Halvorsen, Jake Graehm |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2012 |
| Last updated | May 17th, 2012 - about 14 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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