Jack R. Roossien Jr., M.D.P.C.
LBN: Jack R. Roossien Jr., M.D.P.C.
Jack R. Roossien Jr., M.D.P.C. is an health care organization with primary practice located at 15151 Stanton St Suite A, West Olive MI 49460-8543. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jack R. Roossien Jr., M.D.P.C. can be contacted via phone (616) 296-1020, or through Roossien, Jack Richard via phone (616) 296-1020.
Contact Information
Primary practice address
15151 Stanton St Suite A
West Olive MI 49460-8543
Phone: (616) 296-1020
Fax: (616) 296-1030
Website:
Authorized official contact:
Name: Roossien, Jack Richard Doctor of Medicine (MD)
Phone: (616) 296-1020
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301050437 | Michigan |
Profile Details
NPI number | 1740406982 |
---|---|
LBN Legal business name | Jack R. Roossien Jr., M.D.P.C. |
DBA Doing business as | |
Authorized official | Roossien, Jack Richard Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 17th, 2007 |
Last updated | May 27th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740406982 | NPPES |
Michigan | Other | ON13120 | MEDICARE GROUP NUMBER |
Michigan | MEDICAID | 4214810 | MEDICARE GROUP NUMBER |
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