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
Phone: (616) 647-3770
Fax: (616) 647-3776
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386072825 | NPPES |
Michigan | Other | 5601006779 | BLUE CROSS BLUE SHIELD |
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