Baranowski, Kimberley
Baranowski, Kimberley is an sole proprietor health care provider with primary practice located at 101 Sheldon Blvd Se , Grand Rapids MI 49503-4262. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Baranowski, Kimberley can be contacted via phone (616) 776-2340.Contact Information
Primary practice address
101 Sheldon Blvd Se
Grand Rapids MI 49503-4262
Phone: (616) 776-2340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902009418 | Michigan |
Profile Details
| NPI number | 1285009373 |
|---|---|
| LBN Legal business name | Baranowski, Kimberley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Dec 1st, 2015 - about 9 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 | 1285009373 | NPPES |
| Michigan | MEDICAID | 2902009418 |
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