Stevens, Mary Bernona
Stevens, Mary Bernona is an sole proprietor health care provider with primary practice located at 1172 Nixon Ave Nw , Grand Rapids MI 49544-3638. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Stevens, Mary Bernona can be contacted via phone (616) 453-0644.Contact Information
Primary practice address
1172 Nixon Ave Nw
Grand Rapids MI 49544-3638
Phone: (616) 453-0644
Fax: (616) 453-0640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12849 | Michigan |
Profile Details
| NPI number | 1003819004 |
|---|---|
| LBN Legal business name | Stevens, Mary Bernona |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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