Ydenberg, Marc

Ydenberg, Marc is an individual health care provider with primary practice located at 1700 Clinton St , Muskegon MI 49442-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Ydenberg, Marc can be contacted via phone (231) 728-4601.

Contact Information

Primary practice address
1700 Clinton St Muskegon MI 49442-5502
Phone: (231) 728-4601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301074458 Michigan

Profile Details

NPI number 1912928110
LBN Legal business name Ydenberg, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 19th, 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 1912928110 NPPES
Michigan Other MY074458 BCBS
Michigan Other 930112014 BCBS

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