Dejong, Michael J
Dejong, Michael J is an individual health care provider with primary practice located at 1045 Gezon Pkwy Sw , Wyoming MI 49509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dejong, Michael J can be contacted via phone (616) 456-5311.Contact Information
Primary practice address
1045 Gezon Pkwy Sw
Wyoming MI 49509
Phone: (616) 456-5311
Fax: (616) 456-7955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301059493 | Michigan |
Profile Details
| NPI number | 1609857143 |
|---|---|
| LBN Legal business name | Dejong, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 13th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609857143 | NPPES |
| Michigan | Other | 0D16117 | BCBS |
| Michigan | MEDICAID | 3481167 | BCBS |
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