Italiano, John Jeffrey
Italiano, John Jeffrey is an individual health care provider with primary practice located at 6157 28Th St Se Ste 18B , Grand Rapids MI 49546-6947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Italiano, John Jeffrey can be contacted via phone (616) 282-5969.Contact Information
Primary practice address
6157 28Th St Se Ste 18B
Grand Rapids MI 49546-6947
Phone: (616) 282-5969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101027462 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101027462 | Michigan |
Profile Details
| NPI number | 1316681232 |
|---|---|
| LBN Legal business name | Italiano, John Jeffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2022 |
| Last updated | Jan 2nd, 2026 - about 10 months 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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