Haaksma, Brenda Joy
Haaksma, Brenda Joy is an sole proprietor health care provider with primary practice located at 2032 S Cross Creek Dr Se , Grand Rapids MI 49508-8780. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Haaksma, Brenda Joy can be contacted via phone (616) 745-8308.Contact Information
Primary practice address
2032 S Cross Creek Dr Se
Grand Rapids MI 49508-8780
Phone: (616) 745-8308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP.0000730 | Colorado |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 01109430 | Michigan |
Profile Details
| NPI number | 1285857227 |
|---|---|
| LBN Legal business name | Haaksma, Brenda Joy |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Feb 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285857227 | NPPES |
| Colorado | MEDICAID | 99556502 |
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