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
Fax: (616) 785-0238
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114979929 NPPES
Michigan MEDICAID 3415690
Michigan MEDICAID 3192431
Michigan MEDICAID 4186107
Michigan MEDICAID 4186054
Michigan MEDICAID 4168136

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