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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952447567 NPPES
Michigan Other OD14869 MEDICARE GROUP PTAN

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