Frye, David Gordon
Frye, David Gordon is an sole proprietor health care provider with primary practice located at 4300 Cascade Rd Se Suite 103, Grand Rapids MI 49546-3631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Frye, David Gordon can be contacted via phone (616) 243-7900.Contact Information
Primary practice address
4300 Cascade Rd Se Suite 103
Grand Rapids MI 49546-3631
Phone: (616) 243-7900
Fax: (616) 243-8299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DF007503 | Michigan |
Profile Details
| NPI number | 1891784542 |
|---|---|
| LBN Legal business name | Frye, David Gordon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891784542 | NPPES |
| Michigan | MEDICAID | 2747523 | |
| Michigan | Other | DF007503 | |
| Michigan | Other | 2054106025 |
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