Tillema, Bethany Joy
Tillema, Bethany Joy is an individual health care provider with primary practice located at 15100 Whittaker Way , Grand Haven MI 49417-8696. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tillema, Bethany Joy can be contacted via phone (616) 935-6260.Contact Information
Primary practice address
15100 Whittaker Way
Grand Haven MI 49417-8696
Phone: (616) 935-6260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2601000292 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008127 | Michigan |
Profile Details
NPI number | 1417920331 |
---|---|
LBN Legal business name | Tillema, Bethany Joy |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2006 |
Last updated | Sep 5th, 2023 - about last year |
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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