Bury, Martin J

Bury, Martin J is an individual health care provider with primary practice located at 710 Kenmoor Ave Se Suite 100, Grand Rapids MI 49546-2379. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Other Service Providers / Specialist is his primary health care specialty. Bury, Martin J can be contacted via phone (616) 954-9800.

Contact Information

Primary practice address
710 Kenmoor Ave Se Suite 100 Grand Rapids MI 49546-2379
Phone: (616) 954-9800
Fax: (616) 954-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301046999 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301046999 Michigan

Profile Details

NPI number 1235138397
LBN Legal business name Bury, Martin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 24th, 2014 - about 10 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 1235138397 NPPES
Michigan Other 110215649 RR MEDICARE

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