Huizinga, Paul Jay

Huizinga, Paul Jay is an individual health care provider with primary practice located at 4330 44Th St Sw Suite 106, Grandville MI 49418-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Huizinga, Paul Jay can be contacted via phone (616) 530-4710.

Contact Information

Primary practice address
4330 44Th St Sw Suite 106 Grandville MI 49418-2349
Phone: (616) 530-4710
Fax: (616) 530-0480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901018332 Michigan

Profile Details

NPI number 1174516363
LBN Legal business name Huizinga, Paul Jay
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 24th, 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 1174516363 NPPES
Michigan MEDICAID 4453238

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