Reister, Jeremy S

Reister, Jeremy S is an sole proprietor health care provider with primary practice located at 14050 Fruit Ridge Ave , Kent City MI 49330-8922. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reister, Jeremy S can be contacted via phone (616) 378-5538.

Contact Information

Primary practice address
14050 Fruit Ridge Ave Kent City MI 49330-8922
Phone: (616) 378-5538
Fax: (616) 399-4491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301009144 Michigan

Profile Details

NPI number 1417927427
LBN Legal business name Reister, Jeremy S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Apr 27th, 2016 - about 8 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 1417927427 NPPES
Michigan Other 11553234 CAQH
Michigan Other 2301009144 CAQH
Michigan MEDICAID 4873635 CAQH

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