Verseman, Stuart Ray

Verseman, Stuart Ray is an individual health care provider with primary practice located at 1717 Shaffer St Suite 108, Kalamazoo MI 49048-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Verseman, Stuart Ray can be contacted via phone (269) 343-9113.

Contact Information

Primary practice address
1717 Shaffer St Suite 108 Kalamazoo MI 49048-1647
Phone: (269) 343-9113
Fax: (269) 343-0510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301086883 Michigan

Profile Details

NPI number 1275583304
LBN Legal business name Verseman, Stuart Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 2nd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275583304 NPPES
Michigan Other 0203911911 BCBSM
Michigan MEDICAID 4825244 BCBSM

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