Eggert, David Eugene

Eggert, David Eugene is an individual health care provider with primary practice located at 1100 E Michigan Ave Suite 310, Jackson MI 49201-1847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Eggert, David Eugene can be contacted via phone (517) 788-6968.

Contact Information

Primary practice address
1100 E Michigan Ave Suite 310 Jackson MI 49201-1847
Phone: (517) 788-6968
Fax: (517) 796-9122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301043561 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301043561 Michigan

Profile Details

NPI number 1245223874
LBN Legal business name Eggert, David Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 18 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 1245223874 NPPES
Other 100913 GREAT LAKES HEALTH PLAN
Other 105036 GREAT LAKES HEALTH PLAN
Other 4599487 GREAT LAKES HEALTH PLAN
Other 0203806701 GREAT LAKES HEALTH PLAN
Other 1720063 GREAT LAKES HEALTH PLAN
Other P58588 GREAT LAKES HEALTH PLAN
MEDICAID 2114910 GREAT LAKES HEALTH PLAN

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