Kooyer, Erik
Kooyer, Erik is an individual health care provider with primary practice located at 3019 Coit Ave Ne , Grand Rapids MI 49505-3376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kooyer, Erik can be contacted via phone (616) 365-9575.Contact Information
Primary practice address
3019 Coit Ave Ne
Grand Rapids MI 49505-3376
Phone: (616) 365-9575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301062075 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301062075 | Michigan |
Profile Details
| NPI number | 1700830684 |
|---|---|
| LBN Legal business name | Kooyer, Erik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 13th, 2024 - about last year |
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 | 1700830684 | NPPES |
| Michigan | MEDICAID | 4753056 | |
| Michigan | MEDICAID | 4898527 | |
| Michigan | MEDICAID | 4753065 | |
| Michigan | MEDICAID | 4898518 |
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