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Contact Information

SOUNDARARAJAN DURAISAMY
900 COOPER ST
JACKSON, MI49202-3398
 Phone: 517-780-9500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SOUNDARARAJAN DURAISAMY · (Male)

NPI # 1801362272
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2018
Last updated 10/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501014241
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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