Eastes, Bryan K

Eastes, Bryan K is an individual health care provider with primary practice located at 15500 19 Mile Rd Suite 360, Clinton Township MI 48038-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eastes, Bryan K can be contacted via phone (586) 263-9999.

Contact Information

Primary practice address
15500 19 Mile Rd Suite 360 Clinton Township MI 48038-6330
Phone: (586) 263-9999
Fax: (586) 263-0581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301052968 Michigan

Profile Details

NPI number 1336157866
LBN Legal business name Eastes, Bryan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 19th, 2008 - about 18 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 1336157866 NPPES
Michigan MEDICAID 4223588

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