Doornbos, Brent

Doornbos, Brent is an individual health care provider with primary practice located at 1440 Fuller Ave Se , Grand Rapids MI 49507-2191. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Doornbos, Brent can be contacted via phone (616) 980-5390.

Contact Information

Primary practice address
1440 Fuller Ave Se Grand Rapids MI 49507-2191
Phone: (616) 980-5390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1295441707
LBN Legal business name Doornbos, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2023
Last updated Mar 15th, 2023 - 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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