National Provider Identifier Database

WASHTENAW UROLOGY CLINIC PC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

WASHTENAW UROLOGY CLINIC PC
1010 BURR STREET
JACKSON, MI49201
Phone: 517-782-7474
Fax: 517-782-2128
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for WASHTENAW UROLOGY CLINIC PC

NPI Number 1134283633
Legal business name
LBN
WASHTENAW UROLOGY CLINIC PC
Authorized official JONATHAN SYKES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/20/2006
Last updated 07/24/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: JS056395
  • MI Medicaid: 3421964
  • MI Medicaid: 4108684
  • Other: 1689762916 NPI

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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