Bruxvoort, Robert J

Bruxvoort, Robert J is an individual health care provider with primary practice located at 382 N 120Th Ave , Holland MI 49424-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bruxvoort, Robert J can be contacted via phone (616) 396-6516.

Contact Information

Primary practice address
382 N 120Th Ave Holland MI 49424-2169
Phone: (616) 396-6516
Fax: (616) 396-2513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35498 Iowa

Profile Details

NPI number 1316927775
LBN Legal business name Bruxvoort, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jun 16th, 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 1316927775 NPPES
Iowa MEDICAID 3434365
Iowa MEDICAID 0434365
Iowa MEDICAID 1434365
Iowa MEDICAID 1316927775
Iowa MEDICAID 2434365
Iowa Other P00177362

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