Deppen, Jeffrey Gerard

Deppen, Jeffrey Gerard is an individual health care provider with primary practice located at 2720 S Washington Ave Suite 300, Lansing MI 48910-2873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Deppen, Jeffrey Gerard can be contacted via phone (517) 487-8255.

Contact Information

Primary practice address
2720 S Washington Ave Suite 300 Lansing MI 48910-2873
Phone: (517) 487-8255
Fax: (517) 487-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101014681 Michigan

Profile Details

NPI number 1659371177
LBN Legal business name Deppen, Jeffrey Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Apr 20th, 2010 - about 15 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 1659371177 NPPES
Michigan Other 53311215 BCBSM
Michigan MEDICAID 4748047 BCBSM
Michigan Other CA3383 BCBSM
Michigan Other 020C311510 BCBSM
Michigan Other 200000001870 BCBSM
Michigan Other 1015391 BCBSM
Michigan Other 1015391 BCBSM
Michigan Other 200000001870 BCBSM

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