Dr. Jeffrey H Declaire
Adult Reconstructive Orthopaedic Surgeon
1135 W University Dr Suite 450
Rochester
, Michigan 48307-1871
Dr. Jeffrey H Declaire
Adult Reconstructive Orthopaedic Surgeon
1135 W University Dr Suite 450
Rochester
, Michigan 48307-1871
(248) 650-4596
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey H Declaire
- 1135 W University Dr Suite 450
- Rochester, MI
- Zip : 48307-1871
- Fax : (248) 650-4596
- Phone : (248) 650-2400
Second Address
- Dr. Jeffrey H Declaire
- 1135 W University Dr Suite 450
- Rochester, MI
- Zip : 48307-1871
- Fax : (248) 650-4596
- Phone : (248) 650-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301045096 | MI |
National Provider Identifier
| NPI | 1265442446 |
|---|---|
| Provider Name | Dr. Jeffrey H Declaire |
| First Address | Rochester, MI 48307-1871 |
| Second Address | Rochester, MI 48307-1871 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0632203 | BLUE CROSS BLUE SHIELD (01) | MI |
| 1265442446 | (05) | MI |
| A77196 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.