Adyniec, Mary Beth

Adyniec, Mary Beth is an individual health care provider with primary practice located at 1246 Madison Ave Se , Grand Rapids MI 49507-1761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adyniec, Mary Beth can be contacted via phone (616) 685-8300.

Contact Information

Primary practice address
1246 Madison Ave Se Grand Rapids MI 49507-1761
Phone: (616) 685-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704131247 Michigan

Profile Details

NPI number 1720006562
LBN Legal business name Adyniec, Mary Beth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 7th, 2013 - about 11 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 1720006562 NPPES
Michigan MEDICAID 4878622
Michigan MEDICAID 4870508

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