Reister, Jeremy S
Reister, Jeremy S is an sole proprietor health care provider with primary practice located at 14050 Fruit Ridge Ave , Kent City MI 49330-8922. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reister, Jeremy S can be contacted via phone (616) 378-5538.Contact Information
Primary practice address
14050 Fruit Ridge Ave
Kent City MI 49330-8922
Phone: (616) 378-5538
Fax: (616) 399-4491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301009144 | Michigan |
Profile Details
| NPI number | 1417927427 |
|---|---|
| LBN Legal business name | Reister, Jeremy S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 27th, 2016 - about 10 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 | 1417927427 | NPPES |
| Michigan | Other | 11553234 | CAQH |
| Michigan | Other | 2301009144 | CAQH |
| Michigan | MEDICAID | 4873635 | CAQH |
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