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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720006562 | NPPES |
| Michigan | MEDICAID | 4878622 | |
| Michigan | MEDICAID | 4870508 |
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