Emiley, Terrence J

Emiley, Terrence J is an sole proprietor health care provider with primary practice located at 1238 Fuller Ave Ne , Grand Rapids MI 49505-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Emiley, Terrence J can be contacted via phone (616) 452-0467.

Contact Information

Primary practice address
1238 Fuller Ave Ne Grand Rapids MI 49505-5533
Phone: (616) 452-0467
Fax: (616) 452-8885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5901000775 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000775 Michigan

Profile Details

NPI number 1487612610
LBN Legal business name Emiley, Terrence J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Mar 28th, 2012 - about 13 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 1487612610 NPPES
Michigan MEDICAID 1440263
Michigan MEDICAID 5106129

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