Page, Robert Bruce

Page, Robert Bruce is an individual health care provider with primary practice located at 5082 Lovers Ln , Portage MI 49002-1557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Page, Robert Bruce can be contacted via phone (269) 381-0118.

Contact Information

Primary practice address
5082 Lovers Ln Portage MI 49002-1557
Phone: (269) 381-0118
Fax: (269) 381-4610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301050795 Michigan

Profile Details

NPI number 1710966783
LBN Legal business name Page, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 7th, 2023 - about 2 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 1710966783 NPPES
Michigan MEDICAID 2997419
Michigan Other 3503909888
Michigan Other 1230259
Michigan Other P68785
Michigan Other 4301050795

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