Deyoung, Roger L
Deyoung, Roger L is an individual health care provider with primary practice located at 561 Seminole Rd , Muskegon MI 49444-3719. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Deyoung, Roger L can be contacted via phone (231) 733-1111.Contact Information
Primary practice address
561 Seminole Rd
Muskegon MI 49444-3719
Phone: (231) 733-1111
Fax: (231) 733-1144
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 5901001599 | Michigan |
Profile Details
NPI number | 1396702098 |
---|---|
LBN Legal business name | Deyoung, Roger L |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396702098 | NPPES |
Michigan | Other | 4856110630 | BLUE CROSS BLUE SHIELD |
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