Blatz, Brice William

Blatz, Brice William is an sole proprietor health care provider with primary practice located at 221 Michigan St Ne , Grand Rapids MI 49503-2543. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Blatz, Brice William can be contacted via phone (616) 391-1405.

Contact Information

Primary practice address
221 Michigan St Ne Grand Rapids MI 49503-2543
Fax: (616) 391-8611
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LL2132 Nevada
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301092779 Michigan

Profile Details

NPI number 1770745309
LBN Legal business name Blatz, Brice William
Credentials MD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2008
Last updated Mar 10th, 2021 - 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 1770745309 NPPES
Nevada Other LL2132 REG. MEDICAL LIC.

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