National Provider Identifier Database

GERIATRIC EXTENDED REHABILITATION MEDICINE LLC
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

GERIATRIC & EXTENDED REHABILITATION MEDICINE LLC
1159 S HARBOR DR
SUITE C-4
GRAND HAVEN, MI49417-1777
Phone: 616-844-4067
Fax: 616-844-4067
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for GERIATRIC & EXTENDED REHABILITATION MEDICINE LLC

NPI Number 1609810985
Legal business name
LBN
GERIATRIC & EXTENDED REHABILITATION MEDICINE LLC
Authorized official DONALD RUTHERFORD - (OWNER PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/16/2006
Last updated 10/04/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5101009705

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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