Thornsen, Mary

Thornsen, Mary is an individual health care provider with primary practice located at 4565 Wilson Ave Sw , Grandville MI 49418-2371. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thornsen, Mary can be contacted via phone (616) 502-3480.

Contact Information

Primary practice address
4565 Wilson Ave Sw Grandville MI 49418-2371
Phone: (616) 502-3480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401018817 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401018817 Michigan

Profile Details

NPI number 1033714308
LBN Legal business name Thornsen, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2020
Last updated Dec 3rd, 2020 - about 4 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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