Egan, John P

Egan, John P is an individual health care provider with primary practice located at 1675 Leahy St Ste 324B, Muskegon MI 49442-5500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Egan, John P can be contacted via phone (231) 726-5075.

Contact Information

Primary practice address
1675 Leahy St Ste 324B Muskegon MI 49442-5500
Phone: (231) 726-5075
Fax: (231) 722-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301048705 Michigan

Profile Details

NPI number 1689665549
LBN Legal business name Egan, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 19th, 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 1689665549 NPPES
Michigan Other MI1763 MEDICARE GROUP PTAN
Michigan MEDICAID 2803005 MEDICARE GROUP PTAN

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