Bushman, Jeremy C

Bushman, Jeremy C is an individual health care provider with primary practice located at 1000 Monroe Ave Nw , Grand Rapids MI 49503-1455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bushman, Jeremy C can be contacted via phone (616) 732-6200.

Contact Information

Primary practice address
1000 Monroe Ave Nw Grand Rapids MI 49503-1455
Phone: (616) 732-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301096488 Michigan

Profile Details

NPI number 1699088906
LBN Legal business name Bushman, Jeremy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Aug 4th, 2015 - 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 1699088906 NPPES
Michigan Other 4301096488 EDUCATIONAL LIMITED LICENSE

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