Gootjes, Mary Joy

Gootjes, Mary Joy is an individual health care provider with primary practice located at 664 Michigan Ave , Holland MI 49423-4944. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Gootjes, Mary Joy can be contacted via phone (616) 392-5973.

Contact Information

Primary practice address
664 Michigan Ave Holland MI 49423-4944
Fax: (616) 392-1646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MG070496 Michigan
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MG070496 Michigan

Profile Details

NPI number 1427052455
LBN Legal business name Gootjes, Mary Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Feb 2nd, 2021 - about 3 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 1427052455 NPPES
Michigan Other 25331 PRIORITY HEALTH
Michigan Other 1604111372 PRIORITY HEALTH

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