Bevins, Jack Samuel
Bevins, Jack Samuel is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bevins, Jack Samuel can be contacted via phone (616) 391-3139.Contact Information
Primary practice address
100 Michigan St Ne
Grand Rapids MI 49503-2560
Phone: (616) 391-3139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 61036767 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301508218 | Michigan |
Profile Details
| NPI number | 1467983411 |
|---|---|
| LBN Legal business name | Bevins, Jack Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2017 |
| Last updated | May 26th, 2023 - about 2 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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