Bishop, Larissa Kyle
Bishop, Larissa Kyle is an sole proprietor health care provider with primary practice located at 3181 Prairie St Sw Suite 106, Grandville MI 49418-2097. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bishop, Larissa Kyle can be contacted via phone (616) 531-0360.Contact Information
Primary practice address
3181 Prairie St Sw Suite 106
Grandville MI 49418-2097
Phone: (616) 531-0360
Fax: (616) 531-2810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901018015 | Michigan |
Profile Details
| NPI number | 1275552010 |
|---|---|
| LBN Legal business name | Bishop, Larissa Kyle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1275552010 | NPPES |
| Michigan | MEDICAID | 4487030 | |
| Michigan | Other | D180150 |
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