Kooistra, Joshua S

Kooistra, Joshua S is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Kooistra, Joshua S can be contacted via phone (616) 391-1680.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101015003 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5101015003 Michigan

Profile Details

NPI number 1730196700
LBN Legal business name Kooistra, Joshua S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 30th, 2012 - about 12 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 1730196700 NPPES
Michigan Other P00764687 RAILROAD MEDICARE
Michigan Other P00248985 RAILROAD MEDICARE

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