Adam, George A

Adam, George A is an individual health care provider with primary practice located at 220 Goodale Ave E Suite A, Battle Creek MI 49037-2728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Adam, George A can be contacted via phone (269) 964-0101.

Contact Information

Primary practice address
220 Goodale Ave E Suite A Battle Creek MI 49037-2728
Phone: (269) 964-0101
Fax: (269) 964-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X GA073501 Michigan

Profile Details

NPI number 1316902562
LBN Legal business name Adam, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 19th, 2014 - about 12 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 1316902562 NPPES
Michigan Other 352064750 TAX ID
Michigan MEDICAID 4069460 TAX ID
Michigan Other P00199549 TAX ID

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