Kooiker, Mary

Kooiker, Mary is an individual health care provider with primary practice located at 1617 E Milham Ave Suite 2, Portage MI 49002-3049. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kooiker, Mary can be contacted via phone (269) 303-5931.

Contact Information

Primary practice address
1617 E Milham Ave Suite 2 Portage MI 49002-3049
Phone: (269) 303-5931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1821459686
LBN Legal business name Kooiker, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2016
Last updated Mar 8th, 2016 - about 8 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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