Edward J Jelonek JR.
Emergency Medical Services
159 Kercheval Ave.
Grosse Pointe
, Michigan 48236
Edward J Jelonek JR.
Emergency Medical Services
159 Kercheval Ave.
Grosse Pointe
, Michigan 48236
(866) 321-8433
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Edward J Jelonek JR.
- Po Box 670660
- Detroit, MI
- Zip : 48267-0660
- Phone : (866) 321-8433
Second Address
- Edward J Jelonek JR.
- 159 Kercheval Ave.
- Grosse Pointe, MI
- Zip : 48236
- Phone : (313) 640-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 5101009074 | MI |
National Provider Identifier
| NPI | 1073583001 |
|---|---|
| Provider Name | Edward J Jelonek JR. |
| First Address | Detroit, MI 48267-0660 |
| Second Address | Grosse Pointe, MI 48236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E64775 | (02) |
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.