Reyelts, Fredric Alan

Reyelts, Fredric Alan is an individual health care provider with primary practice located at 801 Broadway Ave Nw Ste 105 , Grand Rapids MI 49504-4496. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Reyelts, Fredric Alan can be contacted via phone (616) 685-7500.

Contact Information

Primary practice address
801 Broadway Ave Nw Ste 105 Grand Rapids MI 49504-4496
Phone: (616) 685-7500
Fax: (616) 785-7511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301051511 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301051511 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301051511 Michigan

Profile Details

NPI number 1285687467
LBN Legal business name Reyelts, Fredric Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 7th, 2023 - about last year

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 1285687467 NPPES
Michigan MEDICAID 3415813
Michigan MEDICAID 4106189
Michigan MEDICAID 4593050
Michigan MEDICAID 4878865
Michigan MEDICAID 2995094
Michigan MEDICAID 4155657
Michigan MEDICAID 4593060

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