Ortiz, Eduardo
Ortiz, Eduardo is an individual health care provider with primary practice located at 3333 Evergreen Dr Ne , Grand Rapids MI 49525-9756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ortiz, Eduardo can be contacted via phone (616) 364-4200.Contact Information
Primary practice address
3333 Evergreen Dr Ne
Grand Rapids MI 49525-9756
Phone: (616) 364-4200
Fax: (616) 364-7347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301055981 | Michigan |
Profile Details
| NPI number | 1780664656 |
|---|---|
| LBN Legal business name | Ortiz, Eduardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Sep 21st, 2010 - about 16 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 | 1780664656 | NPPES |
| Michigan | MEDICAID | 4288330 |
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