Bruins, George S

Bruins, George S is an individual health care provider with primary practice located at 4600 Breton Rd Se Ste 102, Kentwood MI 49508-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bruins, George S can be contacted via phone (616) 391-9700.

Contact Information

Primary practice address
4600 Breton Rd Se Ste 102 Kentwood MI 49508-5220
Phone: (616) 391-9700
Fax: (616) 391-9707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301057804 Michigan

Profile Details

NPI number 1265436836
LBN Legal business name Bruins, George S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 16th, 2011 - about 15 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 1265436836 NPPES
Michigan MEDICAID 3149083

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