Hollenbeck, Rachel Gates

Hollenbeck, Rachel Gates is an individual health care provider with primary practice located at 750 E Beltline Ave Ne Ste 202, Grand Rapids MI 49525-6049. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hollenbeck, Rachel Gates can be contacted via phone (616) 588-6542.

Contact Information

Primary practice address
750 E Beltline Ave Ne Ste 202 Grand Rapids MI 49525-6049
Phone: (616) 588-6542
Fax: (616) 365-2076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004106 Michigan

Profile Details

NPI number 1174526479
LBN Legal business name Hollenbeck, Rachel Gates
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174526479 NPPES
Michigan Other P00192048 MEDICARE RR
Michigan Other 900D111550 MEDICARE RR
Michigan MEDICAID 4803926 MEDICARE RR

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