Kleis, Mary Lynne
Kleis, Mary Lynne is an sole proprietor health care provider with primary practice located at 3739 Baldwin St , Hudsonville MI 49426-9733. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Kleis, Mary Lynne can be contacted via phone (616) 669-2734.Contact Information
Primary practice address
3739 Baldwin St
Hudsonville MI 49426-9733
Phone: (616) 669-2734
Fax: (616) 669-2734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 5201001229 | Michigan |
Profile Details
| NPI number | 1154799666 |
|---|---|
| LBN Legal business name | Kleis, Mary Lynne |
| Credentials | OTR/L, CHT, CLT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2015 |
| Last updated | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154799666 | NPPES |
| Michigan | MEDICAID | 1790157097 | |
| Michigan | Other | 0G00491 |
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