Garza, Rudolph
Garza, Rudolph is an sole proprietor health care provider with primary practice located at 1152 Burton St Se , Grand Rapids MI 49507-3359. He recently has only one registered license in Chiropractic Providers / Independent Medical Examiner, which is considered as his primary health care specialty. Garza, Rudolph can be contacted via phone (616) 475-7830.Contact Information
Primary practice address
1152 Burton St Se
Grand Rapids MI 49507-3359
Phone: (616) 475-7830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Independent Medical Examiner | 111NI0013X | 23010005627 | Michigan |
Profile Details
| NPI number | 1023234754 |
|---|---|
| LBN Legal business name | Garza, Rudolph |
| Credentials | PLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023234754 | NPPES |
| Michigan | Other | 2301005627 | STATE LICENSE |
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