Machuta, John
Machuta, John is an individual health care provider with primary practice located at 1111 Leffingwell Ave Ne , Grand Rapids MI 49525-6406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Machuta, John can be contacted via phone (616) 459-7101.Contact Information
Primary practice address
1111 Leffingwell Ave Ne
Grand Rapids MI 49525-6406
Phone: (616) 459-7101
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 5101009697 | Michigan |
Profile Details
NPI number | 1952447567 |
---|---|
LBN Legal business name | Machuta, John |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Sep 18th, 2017 - about 8 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 | 1952447567 | NPPES |
Michigan | Other | OD14869 | MEDICARE GROUP PTAN |
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