Lebolt, James R
Lebolt, James R is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 300, Grand Rapids MI 49546-8292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lebolt, James R can be contacted via phone (616) 267-8860.Contact Information
Primary practice address
4100 Lake Dr Se Ste 300
Grand Rapids MI 49546-8292
Phone: (616) 267-8860
Fax: (616) 267-8442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 5101015061 | Michigan |
Profile Details
| NPI number | 1245331941 |
|---|---|
| LBN Legal business name | Lebolt, James R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 22nd, 2021 - about 4 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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