Birkholz, Laurie A B

Birkholz, Laurie A B is an individual health care provider with primary practice located at 11971 James St , Holland MI 49424-9610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Birkholz, Laurie A B can be contacted via phone (616) 345-5263.

Contact Information

Primary practice address
11971 James St Holland MI 49424-9610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301099907 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47700 Wisconsin

Profile Details

NPI number 1346299492
LBN Legal business name Birkholz, Laurie A B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 11th, 2020 - about 4 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 1346299492 NPPES
Wisconsin MEDICAID 34641700

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