Bruins, George S
Bruins, George S is an individual health care provider with primary practice located at 4600 Breton Rd Se Ste 102, Kentwood MI 49508-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bruins, George S can be contacted via phone (616) 391-9700.Contact Information
Primary practice address
4600 Breton Rd Se Ste 102
Kentwood MI 49508-5220
Phone: (616) 391-9700
Fax: (616) 391-9707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301057804 | Michigan |
Profile Details
| NPI number | 1265436836 |
|---|---|
| LBN Legal business name | Bruins, George S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 16th, 2011 - about 13 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 | 1265436836 | NPPES |
| Michigan | MEDICAID | 3149083 |
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