Schrader, Kim Michael

Schrader, Kim Michael is an individual health care provider with primary practice located at 1256 Walker Ave Nw , Grand Rapids MI 49504-4067. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Schrader, Kim Michael can be contacted via phone (616) 774-8789.

Contact Information

Primary practice address
1256 Walker Ave Nw Grand Rapids MI 49504-4067
Phone: (616) 774-8789
Fax: (616) 774-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703041028 Michigan

Profile Details

NPI number 1447377841
LBN Legal business name Schrader, Kim Michael
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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 1447377841 NPPES
Michigan Other 4703041028 LPN LICENSE

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