Bultman, Rebecca L
Bultman, Rebecca L is an individual health care provider with primary practice located at 100 Michigan St Ne Room 280, Grand Rapids MI 49503-2560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bultman, Rebecca L can be contacted via phone (616) 391-5275.Contact Information
Primary practice address
100 Michigan St Ne Room 280
Grand Rapids MI 49503-2560
Phone: (616) 391-5275
Fax: (616) 391-8848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301065600 | Michigan |
Profile Details
| NPI number | 1972574309 |
|---|---|
| LBN Legal business name | Bultman, Rebecca L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972574309 | NPPES |
| Michigan | Other | 1558407189 | GROUP NPI |
| Michigan | Other | 0410823 | GROUP NPI |
| Michigan | MEDICAID | 3516825 | GROUP NPI |
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