Sandy, Jennifer Doublestein

Sandy, Jennifer Doublestein is an individual health care provider with primary practice located at 1310 Wisconsin St Suite 101, Grand Haven MI 49417-2472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sandy, Jennifer Doublestein can be contacted via phone (616) 844-4701.

Contact Information

Primary practice address
1310 Wisconsin St Suite 101 Grand Haven MI 49417-2472
Phone: (616) 844-4701
Fax: (616) 847-1863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201734 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101015469 Michigan

Profile Details

NPI number 1023080447
LBN Legal business name Sandy, Jennifer Doublestein
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 1st, 2015 - about 9 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 1023080447 NPPES
Michigan Other 080G011310 BCBSM GRP PIN
Michigan Other 1157010844 BCBSM GRP PIN

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