Formsma, Kari Rose

Formsma, Kari Rose is an individual health care provider with primary practice located at 200 Jefferson Ave Se 9Th Floor, Grand Rapids MI 49503-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Formsma, Kari Rose can be contacted via phone (616) 685-6501.

Contact Information

Primary practice address
200 Jefferson Ave Se 9Th Floor Grand Rapids MI 49503-4502
Phone: (616) 685-6501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301059866 Michigan

Profile Details

NPI number 1073572830
LBN Legal business name Formsma, Kari Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 9th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073572830 NPPES
Michigan MEDICAID 4764659

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