Barber, Jeremy David

Barber, Jeremy David is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 205 , Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Barber, Jeremy David can be contacted via phone (616) 267-7414.

Contact Information

Primary practice address
4100 Lake Dr Se Ste 205 Grand Rapids MI 49546-8292
Phone: (616) 267-7414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101016770 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 5101016770 Michigan

Profile Details

NPI number 1417177866
LBN Legal business name Barber, Jeremy David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Mar 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417177866 NPPES
Michigan Other MI1763 MEDICARE GROUP PTAN

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