Colegrove, Neil

Colegrove, Neil is an individual health care provider with primary practice located at 2373 64Th St Sw Suite 1300, Byron Center MI 49315-7974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colegrove, Neil can be contacted via phone (616) 685-1350.

Contact Information

Primary practice address
2373 64Th St Sw Suite 1300 Byron Center MI 49315-7974
Fax: (616) 261-7191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301044816 Michigan

Profile Details

NPI number 1962455188
LBN Legal business name Colegrove, Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 26th, 2009 - about 16 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 1962455188 NPPES
Michigan MEDICAID 4786852
Michigan MEDICAID 4109850
Michigan MEDICAID 4876735
Michigan MEDICAID 3403877
Michigan MEDICAID 3415573
Michigan MEDICAID 2853286
Michigan MEDICAID 4166660
Michigan MEDICAID 4187786
Michigan MEDICAID 4591673
Michigan MEDICAID 4179111

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