Buitenwerf, Anita Joy

Buitenwerf, Anita Joy is an individual health care provider with primary practice located at 601 John St Suite M124, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Buitenwerf, Anita Joy can be contacted via phone (269) 341-7500.

Contact Information

Primary practice address
601 John St Suite M124 Kalamazoo MI 49007-5341
Phone: (269) 341-7500
Fax: (269) 341-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704221193 Michigan

Profile Details

NPI number 1184786774
LBN Legal business name Buitenwerf, Anita Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Oct 31st, 2014 - 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 1184786774 NPPES
Michigan MEDICAID 1184786774
Michigan Other 500C961050

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