Rebenstock, Alan Ira
Rebenstock, Alan Ira is an individual health care provider with primary practice located at 3264 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rebenstock, Alan Ira can be contacted via phone (616) 363-7272.Contact Information
Primary practice address
3264 N Evergreen Dr Ne
Grand Rapids MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD422684 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301088832 | Michigan |
Profile Details
| NPI number | 1982674925 |
|---|---|
| LBN Legal business name | Rebenstock, Alan Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Apr 16th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982674925 | NPPES |
| Pennsylvania | MEDICAID | 101117842 |
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