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Contact Information

DOMINIC O ABUYA, FNP-BC
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI49503-2563
 Phone: 616-391-9945
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DOMINIC O ABUYA · (Male)

NPI # 1053984609
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/21/2021
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704301890
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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