Forrest, Michael Duane
Forrest, Michael Duane is an individual health care provider with primary practice located at 3501 Lake Eastbrook Blvd Se Suite 280, Grand Rapids MI 49546-5938. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Forrest, Michael Duane can be contacted via phone (616) 942-7331.Contact Information
Primary practice address
3501 Lake Eastbrook Blvd Se Suite 280
Grand Rapids MI 49546-5938
Phone: (616) 942-7331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401007911 | Michigan |
Profile Details
| NPI number | 1154477313 |
|---|---|
| LBN Legal business name | Forrest, Michael Duane |
| Credentials | PH.D, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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