Mr John R Debruyne Ii, MSW, MBA is a
Social Worker - Clinical based in Ottawa Lake, Michigan. Mr John R Debruyne Ii is licensed to practice in Ohio (license number I-0004362) and his current practice location is
6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 854-6207.
NPI number for Mr John R Debruyne Ii is 1326138595 and his current mailing address is 6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326138595.
Healthcare Provider's Profile
Full Name | Mr John R Debruyne Ii |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326138595
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr John R Debruyne Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326138595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I-0004362 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John R Debruyne Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr John R Debruyne Ii, MSW, MBA 6833 Sylvania Petersburg Rd, Ottawa Lake, MI 49267-9523 Ph: (734) 854-6207 | Mr John R Debruyne Ii, MSW, MBA 6833 Sylvania Petersburg Rd, Ottawa Lake, MI 49267-9523 Ph: (734) 854-6207 |
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