Deyoung, Gerald Robert
Deyoung, Gerald Robert is an individual health care provider with primary practice located at 200 Jefferson Ave Se Advantage Health Physicians And St. Mary'S Health Care, Grand Rapids MI 49503-4502. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Deyoung, Gerald Robert can be contacted via phone (616) 752-6410.Contact Information
Primary practice address
200 Jefferson Ave Se Advantage Health Physicians And St. Mary'S Health Care
Grand Rapids MI 49503-4502
Phone: (616) 752-6410
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 5302027249 | Michigan |
Profile Details
NPI number | 1902806755 |
---|---|
LBN Legal business name | Deyoung, Gerald Robert |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2005 |
Last updated | Jul 8th, 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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