Schwallie, Robert Bruce
Schwallie, Robert Bruce is an individual health care provider with primary practice located at 1140 Monroe Ave Nw Suite 150, Grand Rapids MI 49503-1055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Schwallie, Robert Bruce can be contacted via phone (616) 459-1560.Contact Information
Primary practice address
1140 Monroe Ave Nw Suite 150
Grand Rapids MI 49503-1055
Phone: (616) 459-1560
Fax: (616) 459-1560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35045428 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35510 | Arizona |
Profile Details
| NPI number | 1063488435 |
|---|---|
| LBN Legal business name | Schwallie, Robert Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jan 26th, 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 | 1063488435 | NPPES |
| Ohio | Other | P00126487 | MEDICARE RAILROAD |
| Ohio | Other | P00172166 | MEDICARE RAILROAD |
| Ohio | MEDICAID | 0515811 | MEDICARE RAILROAD |
| Ohio | Other | 000000317075 | MEDICARE RAILROAD |
| Ohio | Other | 000000319946 | MEDICARE RAILROAD |
| Ohio | MEDICAID | 863392 | MEDICARE RAILROAD |
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