King, Jonathan Michael

King, Jonathan Michael is an individual health care provider with primary practice located at 32743 23 Mile Rd Ste 210, Chesterfield MI 48047-1985. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. King, Jonathan Michael can be contacted via phone (586) 725-3444.

Contact Information

Primary practice address
32743 23 Mile Rd Ste 210 Chesterfield MI 48047-1985
Phone: (586) 725-3444
Fax: (586) 725-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002282 Michigan

Profile Details

NPI number 1174779441
LBN Legal business name King, Jonathan Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Jan 11th, 2016 - about 10 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 1174779441 NPPES
Michigan MEDICAID 1174779441

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