Ortiz, Luis G

Ortiz, Luis G is an individual health care provider with primary practice located at 5629 Stadium Dr Bronson Internal Medicine - Oshtemo Ste B, Kalamazoo MI 49009-1952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ortiz, Luis G can be contacted via phone (269) 544-3276.

Contact Information

Primary practice address
5629 Stadium Dr Bronson Internal Medicine - Oshtemo Ste B Kalamazoo MI 49009-1952
Fax: (269) 544-3288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053328 Michigan

Profile Details

NPI number 1245200716
LBN Legal business name Ortiz, Luis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 27th, 2023 - about last year

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 1245200716 NPPES
Michigan Other CB9054 RAILROAD MEDICARE
Michigan MEDICAID 4178016 RAILROAD MEDICARE

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