Schipper, Benjamin Russell
Schipper, Benjamin Russell is an individual health care provider with primary practice located at 3185 Macatawa Dr Sw Suite A, Grandville MI 49418-3163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Schipper, Benjamin Russell can be contacted via phone (616) 391-4500.Contact Information
Primary practice address
3185 Macatawa Dr Sw Suite A
Grandville MI 49418-3163
Phone: (616) 391-4500
Fax: (616) 486-0130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301081988 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301081988 | Michigan |
Profile Details
| NPI number | 1750415238 |
|---|---|
| LBN Legal business name | Schipper, Benjamin Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Feb 24th, 2021 - about 3 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 | 1750415238 | NPPES |
| Michigan | MEDICAID | 4984133 |
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