Oppenhuizen, Mary I.

Oppenhuizen, Mary I. is an sole proprietor health care provider with primary practice located at 2025 E Beltline Ave Se Ste 102, Grand Rapids MI 49546-7673. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Oppenhuizen, Mary I. can be contacted via phone (616) 690-4477.

Contact Information

Primary practice address
2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673
Phone: (616) 690-4477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X Michigan

Profile Details

NPI number 1609924141
LBN Legal business name Oppenhuizen, Mary I.
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609924141 NPPES
Michigan Other 680D146 040 BLUE CROSS BLUE SHIELD

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