Jacob Kalo is a Specialist in Warren, Michigan. Jacob Kalo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jacob Kalo is 1760455869. The last update date is 2022-11-02.
Jacob Kalo's current location address is 28477 Hoover Rd, Warren, Michigan. You can contact this provider via phone number 5867517070 and fax number 5867517071. The mailing address for Jacob Kalo is 28477 Hoover Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Kalo |
|---|---|
| Address | 28477 Hoover Rd, Warren, Michigan |
| Phone Number | 5867517070 |
| Fax Number | 5867517071 |
| Sole Proprietor | Y |
| Credentials | M.D., P.C. |
NPI Number Detail
| NPI Number | 1760455869 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2022-11-02 |
Provider Mailing Address Detail
| Address | 28477 Hoover Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480935438 |
| Phone Number | 5867517070 |
| Fax Number | 5867517071 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301040053 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500428 | MI | BLUE CROSS ID | |
| 1594887 | MI | -- |
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What is the unique 10-digit identifier code issued to Jacob Kalo by the Centers for Medicare & Medicaid Services?
The Jacob Kalo has been assigned the NPI (National Provider Identifier) 1760455869 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacob Kalo's facilities are geographically located?
The facilities of Jacob Kalo are physically situated at the following location: 28477 Hoover Rd, Warren, MI, 480935438.
What is Jacob Kalo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob Kalo's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Jacob Kalo receive its 1760455869 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Kalo was assigned its 1760455869 by the Centers for Medicare & Medicaid Services on 2006-02-09.
As of what date were the Jacob Kalo's details last updated?
The information pertaining to the Jacob Kalo, including its address, specialty, and other details, was most recently updated on 2022-11-02.
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