Steen, Stacyann
Steen, Stacyann is an individual health care provider with primary practice located at 245 Cherry St Se Ste 100, Grand Rapids MI 49503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Steen, Stacyann can be contacted via phone (616) 685-3200.Contact Information
Primary practice address
245 Cherry St Se Ste 100
Grand Rapids MI 49503
Phone: (616) 685-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301058226 | Michigan |
Profile Details
| NPI number | 1699768820 |
|---|---|
| LBN Legal business name | Steen, Stacyann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1699768820 | NPPES |
| Michigan | MEDICAID | 4092969 |
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