Nielsen, Michele A
Nielsen, Michele A is an sole proprietor health care provider with primary practice located at 200 Ionia Ave Sw Suite 4112, Grand Rapids MI 49503-4116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nielsen, Michele A can be contacted via phone (616) 283-3120.Contact Information
Primary practice address
200 Ionia Ave Sw Suite 4112
Grand Rapids MI 49503-4116
Phone: (616) 283-3120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301013548 | Michigan |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6401010610 | Michigan |
Profile Details
NPI number | 1457527020 |
---|---|
LBN Legal business name | Nielsen, Michele A |
Credentials | MA, LLP, LLPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 5th, 2008 |
Last updated | Dec 7th, 2009 - about 15 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 | 1457527020 | NPPES |
Other | NONE | NONE |
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