Donders, Jacobus Am

Donders, Jacobus Am is an individual health care provider with primary practice located at 235 Wealthy Se , Grand Rapids MI 49503. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Donders, Jacobus Am can be contacted via phone (616) 242-9201.

Contact Information

Primary practice address
235 Wealthy Se Grand Rapids MI 49503
Phone: (616) 242-9201
Fax: (616) 451-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 6301007509 Michigan

Profile Details

NPI number 1740246339
LBN Legal business name Donders, Jacobus Am
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Mar 7th, 2024 - about last year

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 1740246339 NPPES
Other JD007509 PRIORITY HEALTH BLUE CROS

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