Bruinsma, Benjamin J

Bruinsma, Benjamin J is an individual health care provider with primary practice located at 235 Wealthy St Se Suite 100, Grand Rapids MI 49503-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bruinsma, Benjamin J can be contacted via phone (616) 840-8186.

Contact Information

Primary practice address
235 Wealthy St Se Suite 100 Grand Rapids MI 49503-5229
Phone: (616) 840-8186
Fax: (616) 840-9637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301405949 Michigan

Profile Details

NPI number 1508804154
LBN Legal business name Bruinsma, Benjamin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 31st, 2021 - about 3 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 1508804154 NPPES
Michigan MEDICAID 2577423
Michigan Other BB405949

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