Eickholtz, Allie Sandra
Eickholtz, Allie Sandra is an individual health care provider with primary practice located at 100 Michigan St Ne Ste A501 , Grand Rapids MI 49503-2560. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Eickholtz, Allie Sandra can be contacted via phone (616) 391-6243.Contact Information
Primary practice address
100 Michigan St Ne Ste A501
Grand Rapids MI 49503-2560
Phone: (616) 391-6243
Fax: (616) 391-8611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4351046434 | Michigan |
Profile Details
| NPI number | 1033747118 |
|---|---|
| LBN Legal business name | Eickholtz, Allie Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2020 |
| Last updated | Jun 3rd, 2022 - about 3 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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