Homer, Kevin Jeremy

Homer, Kevin Jeremy is an individual health care provider with primary practice located at 7180 Dixie Hwy , Clarkston MI 48346-5109. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Homer, Kevin Jeremy can be contacted via phone (248) 625-7690.

Contact Information

Primary practice address
7180 Dixie Hwy Clarkston MI 48346-5109
Fax: (248) 625-7140
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008892 Michigan

Profile Details

NPI number 1801841846
LBN Legal business name Homer, Kevin Jeremy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 2nd, 2021 - about 5 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 1801841846 NPPES
Michigan MEDICAID 4905935

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