Walstrum, John

Walstrum, John is an individual health care provider with primary practice located at 551 Linn St , Allegan MI 49010-1595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walstrum, John can be contacted via phone (269) 686-5800.

Contact Information

Primary practice address
551 Linn St Allegan MI 49010-1595
Fax: (269) 686-5899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X JW042924 Michigan

Profile Details

NPI number 1679564975
LBN Legal business name Walstrum, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 12th, 2015 - about 11 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 1679564975 NPPES
Michigan Other 25685 COMMUNITY CHOICE OF MI
Michigan Other 080067212 COMMUNITY CHOICE OF MI
Michigan Other 1837425 COMMUNITY CHOICE OF MI
Michigan Other 0800300041 COMMUNITY CHOICE OF MI
Michigan Other 20476 COMMUNITY CHOICE OF MI
Michigan Other P53510 COMMUNITY CHOICE OF MI
Michigan Other 01-30460 COMMUNITY CHOICE OF MI
Michigan Other JW042924 COMMUNITY CHOICE OF MI
Michigan Other P00361391 COMMUNITY CHOICE OF MI
Michigan MEDICAID 1353542 COMMUNITY CHOICE OF MI

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