Reitzenstein, Jonathan
Reitzenstein, Jonathan is an individual health care provider with primary practice located at 1211 Lafayette Ave Ne , Grand Rapids MI 49505-5092. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Reitzenstein, Jonathan can be contacted via phone (616) 336-8800.Contact Information
Primary practice address
1211 Lafayette Ave Ne
Grand Rapids MI 49505-5092
Phone: (616) 336-8800
Fax: (616) 336-9700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01065869A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301102168 | Michigan |
Profile Details
| NPI number | 1174705818 |
|---|---|
| LBN Legal business name | Reitzenstein, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174705818 | NPPES |
| Michigan | MEDICAID | 2728217 |
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