Rubin, Lawrence B

Rubin, Lawrence B is an sole proprietor health care provider with primary practice located at 18530 Grand River Ave , Detroit MI 48223-2319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Rubin, Lawrence B can be contacted via phone (313) 273-9400.

Contact Information

Primary practice address
18530 Grand River Ave Detroit MI 48223-2319
Phone: (313) 273-9400
Fax: (313) 273-5612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5901000839 Michigan

Profile Details

NPI number 1881696953
LBN Legal business name Rubin, Lawrence B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated May 21st, 2008 - about 18 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 1881696953 NPPES
Michigan MEDICAID 1524461
Michigan MEDICAID 1391060

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