Dejonge, Mitchell H
Dejonge, Mitchell H is an individual health care provider with primary practice located at 100 Michigan St Ne Mc 845 Attn, Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Dejonge, Mitchell H can be contacted via phone (616) 391-1714.Contact Information
Primary practice address
100 Michigan St Ne Mc 845 Attn
Grand Rapids MI 49503-2560
Phone: (616) 391-1714
Fax: (616) 391-1332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301065196 | Michigan |
Profile Details
| NPI number | 1740252766 |
|---|---|
| LBN Legal business name | Dejonge, Mitchell H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jun 13th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740252766 | NPPES |
| Michigan | Other | 1558407189 | GROUP NPI |
| Michigan | MEDICAID | 4173501 | GROUP NPI |
| Michigan | Other | 0630868 | GROUP NPI |
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