Patzelt, Lawrence H

Patzelt, Lawrence H is an individual health care provider with primary practice located at 100 Michigan St Ne Suite 8830, Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Patzelt, Lawrence H can be contacted via phone (616) 459-7258.

Contact Information

Primary practice address
100 Michigan St Ne Suite 8830 Grand Rapids MI 49503-2560
Phone: (616) 459-7258
Fax: (616) 459-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301045183 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 20503 Colorado

Profile Details

NPI number 1780656520
LBN Legal business name Patzelt, Lawrence H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 28th, 2013 - about 12 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 1780656520 NPPES
Michigan MEDICAID 101405139

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