Jeremy David Barber in Grand Rapids - Internal Medicine

Jeremy David Barber - NPI 1417177866

Jeremy David Barber is a Internal Medicine in Grand Rapids, Michigan. Jeremy David Barber practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeremy David Barber is 1417177866. The last update date is 2021-03-10.

Jeremy David Barber's current location address is 4100 Lake Dr Se Ste 205, Grand Rapids, Michigan. You can contact this provider via phone number 6162677414. The mailing address for Jeremy David Barber is 4100 Lake Dr Se Ste 205, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy David Barber
Address 4100 Lake Dr Se Ste 205, Grand Rapids, Michigan
Phone Number 6162677414
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1417177866
Provider Enumeration Date 2007-04-26
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 4100 Lake Dr Se Ste 205
City Grand Rapids
State Michigan (MI)
Post Code 495468292
Phone Number 6162677414
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 5101016770
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MI1763 MI MEDICARE GROUP PTAN

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FAQs about Jeremy David Barber

What is the unique identifier code issued to Jeremy David Barber by the Centers for Medicare & Medicaid Services?

The Jeremy David Barber has been assigned the NPI (National Provider Identifier) 1417177866. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jeremy David Barber's facilities are situated?

The facilities of Jeremy David Barber are physically located at the following address: 4100 Lake Dr Se Ste 205, Grand Rapids, MI, 495468292.

What is the Jeremy David Barber's specialty and taxonomy code?

The Jeremy David Barber's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417177866 to Jeremy David Barber?

The Centers for Medicare & Medicaid Services assigned the 1417177866 to Jeremy David Barber on 2007-04-26.

As of what date was the information regarding Jeremy David Barber, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeremy David Barber, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-10.

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