Segaloff, David Simon
Segaloff, David Simon is an individual health care provider with primary practice located at 26850 Providence Pkwy , Novi MI 48374-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Segaloff, David Simon can be contacted via phone (248) 465-4847.Contact Information
Primary practice address
26850 Providence Pkwy
Novi MI 48374-1213
Phone: (248) 465-4847
Fax: (248) 465-4477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301054871 | Michigan |
Profile Details
| NPI number | 1669473666 |
|---|---|
| LBN Legal business name | Segaloff, David Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Oct 26th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669473666 | NPPES |
| Michigan | MEDICAID | 291647510 |
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