Kelly, John Michael

Kelly, John Michael is an individual health care provider with primary practice located at 4266 State St , Saginaw MI 48603-4028. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, John Michael can be contacted via phone (989) 792-6702.

Contact Information

Primary practice address
4266 State St Saginaw MI 48603-4028
Phone: (989) 792-6702
Fax: (989) 792-1128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X JK004908 Michigan

Profile Details

NPI number 1801896444
LBN Legal business name Kelly, John Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 15th, 2011 - about 15 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 1801896444 NPPES
Michigan MEDICAID 1535385
Michigan Other 350005936
Michigan Other 0993966
Michigan Other 950G350220
Michigan Other 0G35022

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