Siudara, Jerome E
Siudara, Jerome E is an sole proprietor health care provider with primary practice located at 7786 Mullett Lake Rd , Cheboygan MI 49721-9056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Siudara, Jerome E can be contacted via phone (231) 627-2869.Contact Information
Primary practice address
7786 Mullett Lake Rd
Cheboygan MI 49721-9056
Phone: (231) 627-2869
Fax: (231) 627-2869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | JS005875 | Michigan |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | JS005875 | Michigan |
Profile Details
| NPI number | 1598941346 |
|---|---|
| LBN Legal business name | Siudara, Jerome E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598941346 | NPPES |
| Michigan | Other | 1651630495 | BCBSM |
| Michigan | MEDICAID | 111350021 | BCBSM |
Popular Providers
-
Nylander, Barbara H
345 23Rd Ave N Suite 209, Nashville TN 37203-1513 -
Cothren, Jackson Daniel
2201 Murphy Ave Ste 407 , Nashville TN 37203-1864 -
Culp, John H
2711 Randolph Rd Ste 512, Charlotte NC 28207-2027 -
Staerkel, Richard E
615 E Oklahoma Suite 203, Enid OK 73701 -
Garwin, Sylvia F
120 N Illinois Ave , Carbondale IL 62901-1450 -
Geszler, Gerianne C
200 Forsythe St , Fayetteville NC 28303-5426 -
Lovvorn, Harold Newton
2021 Church St Ste 704, Nashville TN 37203-2060 -
Mullick, Jowheri J
1130 Professional Ct , Hagerstown MD 21740-5852