Broekstra, Amy
Broekstra, Amy is an individual 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. Broekstra, Amy can be contacted via phone (616) 776-2366.Contact Information
Primary practice address
101 Sheldon Blvd Se
Grand Rapids MI 49503-4262
Phone: (616) 776-2366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902002695 | Michigan |
Profile Details
| NPI number | 1679931158 |
|---|---|
| LBN Legal business name | Broekstra, Amy |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2016 |
| Last updated | Jan 29th, 2016 - 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.
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