Destigter, Polly Carole

Destigter, Polly Carole is an individual health care provider with primary practice located at 515 Madison Ave Se , Grand Rapids MI 49503-5313. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Destigter, Polly Carole can be contacted via phone (616) 648-8899.

Contact Information

Primary practice address
515 Madison Ave Se Grand Rapids MI 49503-5313
Phone: (616) 648-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1306292354
LBN Legal business name Destigter, Polly Carole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2016
Last updated May 9th, 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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