Gundrum, Patricia Ann
Gundrum, Patricia Ann is an sole proprietor health care provider with primary practice located at 3493 Woods Edge Suite 103, Okemos MI 48864-5911. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gundrum, Patricia Ann can be contacted via phone (517) 886-3707.Contact Information
Primary practice address
3493 Woods Edge Suite 103
Okemos MI 48864-5911
Phone: (517) 886-3707
Fax: (517) 349-1973
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6801073024 | Michigan |
Profile Details
NPI number | 1497999650 |
---|---|
LBN Legal business name | Gundrum, Patricia Ann |
Credentials | MSW,LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 30th, 2009 |
Last updated | Feb 9th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497999650 | NPPES |
Michigan | Other | 800313060 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
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