Kwast, Michael L
Kwast, Michael L is an sole proprietor health care provider with primary practice located at 4150 E Beltline Ave Ne Suite #3, Grand Rapids MI 49525-9715. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kwast, Michael L can be contacted via phone (616) 447-9888.Contact Information
Primary practice address
4150 E Beltline Ave Ne Suite #3
Grand Rapids MI 49525-9715
Phone: (616) 447-9888
Fax: (616) 447-9886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MK007656 | Michigan |
Profile Details
| NPI number | 1629015946 |
|---|---|
| LBN Legal business name | Kwast, Michael L |
| Credentials | DC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Feb 10th, 2015 - about 9 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 | 1629015946 | NPPES |
| Michigan | MEDICAID | 4073990 |
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