Ekkens, Jennifer J

Ekkens, Jennifer J is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ekkens, Jennifer J can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Phone: (800) 968-6866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101015656 Michigan

Profile Details

NPI number 1275591414
LBN Legal business name Ekkens, Jennifer J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 23rd, 2008 - about 16 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 1275591414 NPPES
Michigan Other JE015656 BCBS
Michigan MEDICAID 4827383 BCBS
Michigan MEDICAID 4827392 BCBS
Michigan MEDICAID 4827409 BCBS
Michigan MEDICAID 5201638 BCBS
Michigan Other 1598712390 BCBS
Michigan MEDICAID 4827418 BCBS
Michigan Other P00415675 BCBS
Michigan MEDICAID 4827374 BCBS

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