Grof, Michael W

Grof, Michael W is an sole proprietor health care provider with primary practice located at 2450 44Th St Se Suite 207, Kentwood MI 49512-9081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grof, Michael W can be contacted via phone (616) 243-9898.

Contact Information

Primary practice address
2450 44Th St Se Suite 207 Kentwood MI 49512-9081
Phone: (616) 243-9898
Fax: (616) 243-4296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101009538 Michigan

Profile Details

NPI number 1740238005
LBN Legal business name Grof, Michael W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jul 7th, 2010 - about 15 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 1740238005 NPPES
Michigan Other 1354145115 BCBSM
Michigan MEDICAID 2639034 BCBSM

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