Kimball, Lawrence Dustin
Kimball, Lawrence Dustin is an sole proprietor health care provider with primary practice located at 451 Hidden Meadows Dr Suite 120, Hillsdale MI 49242-9812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kimball, Lawrence Dustin can be contacted via phone (517) 437-0010.Contact Information
Primary practice address
451 Hidden Meadows Dr Suite 120
Hillsdale MI 49242-9812
Phone: (517) 437-0010
Fax: (517) 437-0319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101010860 | Michigan |
Profile Details
| NPI number | 1346248937 |
|---|---|
| LBN Legal business name | Kimball, Lawrence Dustin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Apr 14th, 2014 - about 10 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 | 1346248937 | NPPES |
| Michigan | Other | 0153000035 | BCBS |
| Michigan | MEDICAID | 2935031 | BCBS |
| Michigan | Other | 102060 | BCBS |
| Michigan | Other | 080071137 | BCBS |
| Michigan | Other | P89542 | BCBS |
| Michigan | Other | 0120040 | BCBS |
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