Triesenberg, Steven Neal
Triesenberg, Steven Neal is an individual health care provider with primary practice located at 260 Jefferson Ave Se Ste 115 , Grand Rapids MI 49503-4597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Triesenberg, Steven Neal can be contacted via phone (616) 685-3100.Contact Information
Primary practice address
260 Jefferson Ave Se Ste 115
Grand Rapids MI 49503-4597
Phone: (616) 685-3100
Fax: (616) 685-3111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301407220 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301407220 | Michigan |
Profile Details
| NPI number | 1588645139 |
|---|---|
| LBN Legal business name | Triesenberg, Steven Neal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Apr 25th, 2018 - about 7 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 | 1588645139 | NPPES |
| Michigan | MEDICAID | 4900278 | |
| Michigan | Other | 110D148350 / 0415028 |
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