Hamersma, Glenes

Hamersma, Glenes is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hamersma, Glenes can be contacted via phone (616) 685-1835.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Phone: (616) 685-1835
Fax: (616) 685-1846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704141359 Michigan

Profile Details

NPI number 1841242898
LBN Legal business name Hamersma, Glenes
Credentials GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841242898 NPPES
Michigan MEDICAID 4220942

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