Willekes, Lourens J

Willekes, Lourens J is an individual health care provider with primary practice located at 751 Lafeyette Nw , Grand Rapids MI 49503. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Willekes, Lourens J can be contacted via phone (616) 742-9945.

Contact Information

Primary practice address
751 Lafeyette Nw Grand Rapids MI 49503
Phone: (616) 742-9945
Fax: (616) 742-9967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301080880 Michigan

Profile Details

NPI number 1124123476
LBN Legal business name Willekes, Lourens J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124123476 NPPES
Michigan MEDICAID 4507446

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