Bahlke, Autumn N

Bahlke, Autumn N is an sole proprietor health care provider with primary practice located at 3010 Wilson Ave Sw , Grandville MI 49418-1242. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bahlke, Autumn N can be contacted via phone (616) 249-8141.

Contact Information

Primary practice address
3010 Wilson Ave Sw Grandville MI 49418-1242
Phone: (616) 249-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501003583 Michigan

Profile Details

NPI number 1114542958
LBN Legal business name Bahlke, Autumn N
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 2020 - about 5 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 1114542958 NPPES
Michigan Other 7501003583 NA

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