Krieger, Jonathan
Krieger, Jonathan is an individual health care provider with primary practice located at 2080 44Th St Se , Kentwood MI 49508-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krieger, Jonathan can be contacted via phone (616) 685-8100.Contact Information
Primary practice address
2080 44Th St Se
Kentwood MI 49508-5010
Phone: (616) 685-8100
Fax: (616) 455-5052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301050502 | Michigan |
Profile Details
| NPI number | 1255385142 |
|---|---|
| LBN Legal business name | Krieger, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Dec 14th, 2021 - about 3 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 | 1255385142 | NPPES |
| Michigan | MEDICAID | 3403895 | |
| Michigan | MEDICAID | 4179031 | |
| Michigan | MEDICAID | 4878319 | |
| Michigan | MEDICAID | 3415706 | |
| Michigan | MEDICAID | 4155610 |
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