Bouwens, Eric C

Bouwens, Eric C is an individual health care provider with primary practice located at 1900 44Th St Se , Kentwood MI 49508-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bouwens, Eric C can be contacted via phone (616) 685-8500.

Contact Information

Primary practice address
1900 44Th St Se Kentwood MI 49508-5008
Fax: (616) 685-8075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301057167 Michigan

Profile Details

NPI number 1336143965
LBN Legal business name Bouwens, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 10th, 2015 - about 9 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 1336143965 NPPES
Michigan MEDICAID 1336143965

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