Bump, Peter T

Bump, Peter T is an individual health care provider with primary practice located at 3960 W Royal Dr , Traverse City MI 49684-9200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bump, Peter T can be contacted via phone (231) 947-0404.

Contact Information

Primary practice address
3960 W Royal Dr Traverse City MI 49684-9200
Phone: (231) 947-0404
Fax: (231) 947-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301054508 Michigan

Profile Details

NPI number 1447214937
LBN Legal business name Bump, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 24th, 2020 - about 5 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 1447214937 NPPES
Michigan Other 11272895 CAQH
Michigan MEDICAID 2955642 CAQH

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