Massin, Christopher Clark

Massin, Christopher Clark is an individual health care provider with primary practice located at 200 Jefferson Ave , Grand Rapids MI 49503. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Massin, Christopher Clark can be contacted via phone (616) 685-6200.

Contact Information

Primary practice address
200 Jefferson Ave Grand Rapids MI 49503
Phone: (616) 685-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 5101012108 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 5101012108 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101012108 Michigan

Profile Details

NPI number 1922022409
LBN Legal business name Massin, Christopher Clark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 10th, 2019 - about 5 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 1922022409 NPPES
Michigan MEDICAID 4886830110

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