Bupp, Caleb Patrick

Bupp, Caleb Patrick is an individual health care provider with primary practice located at 25 Michigan St Ne Suite 2000, Grand Rapids MI 49503-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Bupp, Caleb Patrick can be contacted via phone (616) 391-2700.

Contact Information

Primary practice address
25 Michigan St Ne Suite 2000 Grand Rapids MI 49503-2515
Phone: (616) 391-2700
Fax: (616) 391-3114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301104780 Michigan

Profile Details

NPI number 1841432713
LBN Legal business name Bupp, Caleb Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2009
Last updated Feb 19th, 2021 - about 4 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 1841432713 NPPES
Michigan MEDICAID 1841432713

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