Middlebrook, Deon David

Middlebrook, Deon David is an sole proprietor health care provider with primary practice located at 20176 Livernois Ave , Detroit MI 48221-1346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Middlebrook, Deon David can be contacted via phone (313) 864-7000.

Contact Information

Primary practice address
20176 Livernois Ave Detroit MI 48221-1346
Phone: (313) 864-7000
Fax: (313) 864-5423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301053010 Michigan
Other Service Providers / Specialist 174400000X DM053010 Michigan

Profile Details

NPI number 1508898123
LBN Legal business name Middlebrook, Deon David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Sep 14th, 2023 - about 2 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 1508898123 NPPES
Michigan MEDICAID 102889716

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