Schrotenboer, Dirk

Schrotenboer, Dirk is an individual health care provider with primary practice located at 11971 James St , Holland MI 49424-9610. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schrotenboer, Dirk can be contacted via phone (616) 395-0606.

Contact Information

Primary practice address
11971 James St Holland MI 49424-9610
Phone: (616) 395-0606
Fax: (616) 395-0070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 521576 Michigan

Profile Details

NPI number 1205807955
LBN Legal business name Schrotenboer, Dirk
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jun 23rd, 2010 - about 14 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 1205807955 NPPES
Michigan MEDICAID 2940256
Michigan Other 900G065210

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