Stern, Edward Thomas
Stern, Edward Thomas is an sole proprietor health care provider with primary practice located at 2120 43Rd St Se Ste 700, Grand Rapids MI 49508-3717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Stern, Edward Thomas can be contacted via phone (616) 455-6700.Contact Information
Primary practice address
2120 43Rd St Se Ste 700
Grand Rapids MI 49508-3717
Phone: (616) 455-6700
Fax: (616) 455-7487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 4301039905 | Michigan |
Profile Details
| NPI number | 1609870526 |
|---|---|
| LBN Legal business name | Stern, Edward Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1609870526 | NPPES |
| Michigan | MEDICAID | 2121032 |
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