Devreugd, Matt
Devreugd, Matt is an sole proprietor health care provider with primary practice located at 6411 Bella Vista Dr Ne Ste #2, Rockford MI 49341-7869. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Devreugd, Matt can be contacted via phone (616) 874-7255.Contact Information
Primary practice address
6411 Bella Vista Dr Ne Ste #2
Rockford MI 49341-7869
Phone: (616) 874-7255
Fax: (616) 874-7196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301009861 | Michigan |
Profile Details
| NPI number | 1104193812 |
|---|---|
| LBN Legal business name | Devreugd, Matt |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2011 |
| Last updated | Jan 14th, 2013 - about 13 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 | 1104193812 | NPPES |
| Michigan | Other | 0P04060 | MEDICARE PTAN |
| Michigan | Other | 0F38212 | MEDICARE PTAN |
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