Blickley, Adam B

Blickley, Adam B is an individual health care provider with primary practice located at 555 Midtowne St Ne Suite 400, Grand Rapids MI 49503-5731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Blickley, Adam B can be contacted via phone (616) 588-1200.

Contact Information

Primary practice address
555 Midtowne St Ne Suite 400 Grand Rapids MI 49503-5731
Phone: (616) 588-1200
Fax: (616) 588-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301054233 Michigan

Profile Details

NPI number 1679554679
LBN Legal business name Blickley, Adam B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 15th, 2011 - about 14 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 1679554679 NPPES
Michigan MEDICAID 3169792

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