Teitsma, Larry R

Teitsma, Larry R is an individual health care provider with primary practice located at 3330 Claystone St Se , Grand Rapids MI 49546-7716. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Teitsma, Larry R can be contacted via phone (616) 942-8060.

Contact Information

Primary practice address
3330 Claystone St Se Grand Rapids MI 49546-7716
Fax: (616) 942-6690
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301001766 Michigan

Profile Details

NPI number 1295707412
LBN Legal business name Teitsma, Larry R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 26th, 2008 - about 16 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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