Reisdorff, Earl J
Reisdorff, Earl J is an individual health care provider with primary practice located at 401 W Greenlawn , Lansing MI 48910. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Reisdorff, Earl J can be contacted via phone (517) 487-1288.Contact Information
Primary practice address
401 W Greenlawn
Lansing MI 48910
Phone: (517) 487-1288
Fax: (517) 487-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301049211 | Michigan |
Profile Details
| NPI number | 1023162351 |
|---|---|
| LBN Legal business name | Reisdorff, Earl J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023162351 | NPPES |
| Michigan | MEDICAID | 1810909 |
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