O'Rourke, Karen Ann
O'Rourke, Karen Ann is an sole proprietor health care provider with primary practice located at 4250 Kalamazoo Ave Se , Grand Rapids MI 49508-3607. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. O'Rourke, Karen Ann can be contacted via phone (616) 455-7930.Contact Information
Primary practice address
4250 Kalamazoo Ave Se
Grand Rapids MI 49508-3607
Phone: (616) 455-7930
Fax: (616) 455-9952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901014123 | Michigan |
Profile Details
| NPI number | 1952306128 |
|---|---|
| LBN Legal business name | O'Rourke, Karen Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Sep 21st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952306128 | NPPES |
| Michigan | Other | 383123607 | TAX ID # |
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