Heetderks, Lori

Heetderks, Lori is an individual health care provider with primary practice located at 100 Cherry St Se , Grand Rapids MI 49503-4526. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Heetderks, Lori can be contacted via phone (616) 965-8278.

Contact Information

Primary practice address
100 Cherry St Se Grand Rapids MI 49503-4526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 5303003242 Michigan

Profile Details

NPI number 1518494756
LBN Legal business name Heetderks, Lori
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated May 18th, 2017 - about 7 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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