National Provider Identifier Database

PORT HURON INTERNAL MEDICINE
Family Health


Contact Information

PORT HURON INTERNAL MEDICINE
2540 16TH ST
PORT HURON, MI48060-6405
Phone: 586-634-0055
Fax:
Website:
Specialty Taxonomy Code
* Family Health 364SF0001X

* Indicates primary specialty

NPI Profile & details for PORT HURON INTERNAL MEDICINE

NPI Number 1437609781
Legal business name
LBN
PORT HURON INTERNAL MEDICINE
Authorized official JOHN JARAD - (INTERNAL MEDICINE PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/11/2016
Last updated 10/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4704272224

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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