Jerry Leon Nosanchuk in West Bloomfield - Adult Medicine
Jerry Leon Nosanchuk - NPI 1568529931
Jerry Leon Nosanchuk is a Adult Medicine in West Bloomfield, Michigan. Jerry Leon Nosanchuk practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jerry Leon Nosanchuk is 1568529931. The last update date is 2007-07-08.
Jerry Leon Nosanchuk's current location address is 4545 Northridge Ct, West Bloomfield, Michigan. You can contact this provider via phone number 2489268080 and fax number 2489268077. The mailing address for Jerry Leon Nosanchuk is 4545 Northridge Ct, West Bloomfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Leon Nosanchuk |
|---|---|
| Address | 4545 Northridge Ct, West Bloomfield, Michigan |
| Phone Number | 2489268080 |
| Fax Number | 2489268077 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1568529931 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4545 Northridge Ct |
|---|---|
| City | West Bloomfield |
| State | Michigan (MI) |
| Post Code | 483231397 |
| Phone Number | 2489268080 |
| Fax Number | 2489268077 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 5101005933 |
|
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Leon Nosanchuk by the Centers for Medicare & Medicaid Services?
The Jerry Leon Nosanchuk has been issued the NPI (National Provider Identifier) 1568529931, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerry Leon Nosanchuk is located?
The Jerry Leon Nosanchuk is situated at the following address: 4545 Northridge Ct, West Bloomfield, MI, 483231397.
What is Jerry Leon Nosanchuk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Leon Nosanchuk is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568529931 to Jerry Leon Nosanchuk?
The Centers for Medicare & Medicaid Services assigned the 1568529931 to Jerry Leon Nosanchuk on 2007-01-03.
When was the information regarding Jerry Leon Nosanchuk most recently updated?
The details pertaining to the Jerry Leon Nosanchuk, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.