Poulose, Mon C

Poulose, Mon C is an sole proprietor health care provider with primary practice located at 3225 N Evergreen Drive Ne Suite 301, Grand Rapids MI 49525. He recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Poulose, Mon C can be contacted via phone (716) 348-7834.

Contact Information

Primary practice address
3225 N Evergreen Drive Ne Suite 301 Grand Rapids MI 49525
Phone: (716) 348-7834
Fax: (616) 364-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301099983 Michigan

Profile Details

NPI number 1982835526
LBN Legal business name Poulose, Mon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2009
Last updated Jan 29th, 2014 - about 10 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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