Legault, Daniel John

Legault, Daniel John is an sole proprietor health care provider with primary practice located at 330 E Beltline Ave Ne Suite 100, Grand Rapids MI 49506-1267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Legault, Daniel John can be contacted via phone (616) 752-6235.

Contact Information

Primary practice address
330 E Beltline Ave Ne Suite 100 Grand Rapids MI 49506-1267
Phone: (616) 752-6235
Fax: (616) 752-6324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X DL056685 Michigan

Profile Details

NPI number 1649204892
LBN Legal business name Legault, Daniel John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649204892 NPPES
Michigan MEDICAID 3410503

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