Prince Jerome Eubanks
Gastroenterologist Internist - Addiction Medicine
20526 Plymouth Rd
Detroit
, Michigan 48228-1201
Prince Jerome Eubanks
Gastroenterologist Internist - Addiction Medicine
20526 Plymouth Rd
Detroit
, Michigan 48228-1201
(313) 273-2604
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About
Features
Specialties
- Internist - Addiction Medicine
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Prince Jerome Eubanks
- 19785 W 12 Mile Rd #268
- Southfield, MI
- Zip : 48076-2543
- Fax : (313) 273-2604
- Phone : (313) 273-2330
Second Address
- Prince Jerome Eubanks
- 20526 Plymouth Rd
- Detroit, MI
- Zip : 48228-1201
- Fax : (313) 273-2604
- Phone : (313) 273-2330
Reviews
FAQs
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Is Prince Jerome Eubanks a sole practitioner?
Is Prince Jerome Eubanks accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | 4301044813 | MI |
| Y | 207RG0100X | Gastroenterologist | 4301044813 | MI |
National Provider Identifier
| NPI | 1841391323 |
|---|---|
| Provider Name | Prince Jerome Eubanks |
| First Address | Southfield, MI 48076-2543 |
| Second Address | Detroit, MI 48228-1201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 23/09/2020 |
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.