Dragoo, Bruce Douglas

Dragoo, Bruce Douglas is an individual health care provider with primary practice located at 1000 East Paris Se Ste 225, Grand Rapids MI 49546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dragoo, Bruce Douglas can be contacted via phone (616) 957-3643.

Contact Information

Primary practice address
1000 East Paris Se Ste 225 Grand Rapids MI 49546
Phone: (616) 957-3643
Fax: (616) 957-0896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301028716 Michigan

Profile Details

NPI number 1578568317
LBN Legal business name Dragoo, Bruce Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 11th, 2021 - about 4 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 1578568317 NPPES
Michigan MEDICAID 1083311
Michigan Other 4301028716
Michigan Other 180D117670
Michigan Other 382237488
Michigan Other BD028716

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