Jacob, Bruce Michael

Jacob, Bruce Michael is an individual health care provider with primary practice located at 6689 Orchard Lake Rd # 302 , West Bloomfield MI 48322-3404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Jacob, Bruce Michael can be contacted via phone (248) 757-0030.

Contact Information

Primary practice address
6689 Orchard Lake Rd # 302 West Bloomfield MI 48322-3404
Phone: (248) 757-0030
Fax: (248) 757-0025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901000789 Michigan

Profile Details

NPI number 1710066881
LBN Legal business name Jacob, Bruce Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Nov 6th, 2018 - about 8 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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