Degraaf, Jacob James

Degraaf, Jacob James is an sole proprietor health care provider with primary practice located at 3308 Glade St , Muskegon MI 49444-2708. He recently has only one registered license in Suppliers / Hearing Aid Equipment, which is considered as his primary health care specialty. Degraaf, Jacob James can be contacted via phone (231) 733-2839.

Contact Information

Primary practice address
3308 Glade St Muskegon MI 49444-2708
Phone: (231) 733-2839
Fax: (231) 737-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Suppliers / Hearing Aid Equipment 332S00000X 3501004916 Michigan

Profile Details

NPI number 1417121534
LBN Legal business name Degraaf, Jacob James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Apr 18th, 2008 - 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 1417121534 NPPES
Michigan MEDICAID 4273249

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