Bielema, David J
Bielema, David J is an individual health care provider with primary practice located at 555 Midtowne St Ne Suite 105, Grand Rapids MI 49503-5729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bielema, David J can be contacted via phone (616) 459-7101.Contact Information
Primary practice address
555 Midtowne St Ne Suite 105
Grand Rapids MI 49503-5729
Phone: (616) 459-7101
Fax: (616) 464-6170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301052961 | Michigan |
Profile Details
| NPI number | 1447248588 |
|---|---|
| LBN Legal business name | Bielema, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jun 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447248588 | NPPES |
| Other | 200017183 | RR MEDICARE | |
| MEDICAID | 2913025 | RR MEDICARE | |
| MEDICAID | 102913025 | RR MEDICARE |
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