Kirk, Anthony J

Kirk, Anthony J is an individual health care provider with primary practice located at 2050 Breton Rd Se Suite 105, Grand Rapids MI 49546-5547. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kirk, Anthony J can be contacted via phone (616) 949-1524.

Contact Information

Primary practice address
2050 Breton Rd Se Suite 105 Grand Rapids MI 49546-5547
Phone: (616) 949-1524
Fax: (616) 949-9472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X AK400050 Michigan

Profile Details

NPI number 1144330556
LBN Legal business name Kirk, Anthony J
Credentials DPM PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 8th, 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 1144330556 NPPES
Michigan MEDICAID 4355335
Michigan Other 4854111170

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