Dr Fred Pllc

LBN: Dr Fred Pllc
Dr Fred Pllc is an health care organization with primary practice located at 2100 Raybrook St Se Ste 100B, Grand Rapids MI 49546. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Dr Fred Pllc can be contacted via phone (616) 320-0096, or through Reyelts, Fredric via phone (616) 320-0096.

Contact Information

Primary practice address
2100 Raybrook St Se Ste 100B Grand Rapids MI 49546
Phone: (616) 320-0096
Fax: (616) 320-0097
Website:
Map and Directions
Authorized official contact:
Name: Reyelts, Fredric Doctor of Medicine (MD)
Phone: (616) 320-0096

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1700625761
LBN Legal business name Dr Fred Pllc
DBA Doing business as
Authorized official Reyelts, Fredric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2024
Last updated May 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers