Kliphuis, Sally
Kliphuis, Sally is an sole proprietor health care provider with primary practice located at 933 3 Mile Rd Nw Suite 210, Walker MI 49544-1673. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kliphuis, Sally can be contacted via phone (616) 685-8150.Contact Information
Primary practice address
933 3 Mile Rd Nw Suite 210
Walker MI 49544-1673
Phone: (616) 685-8150
Fax: (616) 785-0238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301047638 | Michigan |
Profile Details
NPI number | 1114979929 |
---|---|
LBN Legal business name | Kliphuis, Sally |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 17th, 2006 |
Last updated | Jun 29th, 2009 - about 16 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 | 1114979929 | NPPES |
Michigan | MEDICAID | 3415690 | |
Michigan | MEDICAID | 3192431 | |
Michigan | MEDICAID | 4186107 | |
Michigan | MEDICAID | 4186054 | |
Michigan | MEDICAID | 4168136 |
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