Tay, Eugene
Tay, Eugene is an individual health care provider with primary practice located at 300 Lafayette Ave Se , Grand Rapids MI 49503-4692. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tay, Eugene can be contacted via phone (616) 685-6922.Contact Information
Primary practice address
300 Lafayette Ave Se
Grand Rapids MI 49503-4692
Phone: (616) 685-6922
Fax: (616) 685-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301076395 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301076395 | Michigan |
Profile Details
| NPI number | 1275589863 |
|---|---|
| LBN Legal business name | Tay, Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 27th, 2022 - 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 | 1275589863 | NPPES |
| Michigan | MEDICAID | 4518735 | |
| Michigan | MEDICAID | 4518753 | |
| Michigan | MEDICAID | 4876898 |
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