Markham, Kevin M

Markham, Kevin M is an individual health care provider with primary practice located at 521 Monroe St , Petoskey MI 49770-2266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Markham, Kevin M can be contacted via phone (231) 487-1900.

Contact Information

Primary practice address
521 Monroe St Petoskey MI 49770-2266
Phone: (231) 487-1900
Fax: (231) 348-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301065831 Michigan

Profile Details

NPI number 1003871559
LBN Legal business name Markham, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 19th, 2015 - about 11 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 1003871559 NPPES
Michigan Other 020B41012 BCBS MI
Michigan Other 0B41012 BCBS MI
Michigan MEDICAID 4320358 BCBS MI
Michigan Other P00117059 BCBS MI

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