Bylsma, Bruce Alan

Bylsma, Bruce Alan is an individual health care provider with primary practice located at 1815 Breton Rd Se , Grand Rapids MI 49506-4800. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Bylsma, Bruce Alan can be contacted via phone (616) 977-0379.

Contact Information

Primary practice address
1815 Breton Rd Se Grand Rapids MI 49506-4800
Phone: (616) 977-0379
Fax: (616) 977-0379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000300 Michigan
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501002046 Michigan

Profile Details

NPI number 1477682714
LBN Legal business name Bylsma, Bruce Alan
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Jul 9th, 2007 - about 17 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 1477682714 NPPES
Michigan Other 640D12606 BLUE CROSS BLUE SHIELD
Michigan Other 540D10455 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 382761821051 BLUE CROSS BLUE SHIELD

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