Dr Js Primary Care Pllc | |
5901 W Vernor Hwy Ste B Detroit MI 48209-2180 | |
(313) 554-4357 | |
Not Available |
Full Name | Dr Js Primary Care Pllc |
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Speciality | Clinic/Center |
Location | 5901 W Vernor Hwy Ste B, Detroit, Michigan |
Authorized Official Name and Position | Jamal Aoun (OWNER) |
Authorized Official Contact | 3135544357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Js Primary Care Pllc 5901 W Vernor Hwy Ste B Detroit MI 48209-2180 Ph: () - | Dr Js Primary Care Pllc 5901 W Vernor Hwy Ste B Detroit MI 48209-2180 Ph: (313) 554-4357 |
NPI Number | 1740989854 |
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Provider Enumeration Date | 02/27/2023 |
Last Update Date | 10/06/2023 |
Medicare PECOS PAC ID | 9133589419 |
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Medicare Enrollment ID | O20230718003217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740989854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Jamal M Aoun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275024606 PECOS PAC ID: 0547650376 Enrollment ID: I20211209000477 |
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