Dircks, John William
Dircks, John William is an individual health care provider with primary practice located at 601 John St Box 74, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dircks, John William can be contacted via phone (269) 341-8481.Contact Information
Primary practice address
601 John St Box 74
Kalamazoo MI 49007-5341
Phone: (269) 341-8481
Fax: (269) 341-7781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | JD028898 | Michigan |
Profile Details
| NPI number | 1205930773 |
|---|---|
| LBN Legal business name | Dircks, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Sep 11th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205930773 | NPPES |
| Michigan | Other | 290C96034 | BC/BS OF MICHIGAN |
| Michigan | Other | P54696 | BC/BS OF MICHIGAN |
| Michigan | Other | 382356205105 | BC/BS OF MICHIGAN |
| Michigan | Other | 290C913410 | BC/BS OF MICHIGAN |
| Michigan | Other | 4830033 | BC/BS OF MICHIGAN |
| Michigan | MEDICAID | 4991610 | BC/BS OF MICHIGAN |
| Michigan | Other | 4809116 | BC/BS OF MICHIGAN |
| Michigan | Other | 290390908 | BC/BS OF MICHIGAN |
| Michigan | Other | 108097 | BC/BS OF MICHIGAN |
| Michigan | Other | 4379449 | BC/BS OF MICHIGAN |
| Michigan | MEDICAID | 1386445 | BC/BS OF MICHIGAN |
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