Abbott, Stephanie

Abbott, Stephanie is an individual health care provider with primary practice located at 721 3 Mile Rd Nw Suite 200, Grand Rapids MI 49544-8229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abbott, Stephanie can be contacted via phone (616) 647-3770.

Contact Information

Primary practice address
721 3 Mile Rd Nw Suite 200 Grand Rapids MI 49544-8229
Fax: (616) 647-3776
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006779 Michigan

Profile Details

NPI number 1386072825
LBN Legal business name Abbott, Stephanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2013
Last updated Oct 18th, 2013 - about 12 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 1386072825 NPPES
Michigan Other 5601006779 BLUE CROSS BLUE SHIELD

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