Visser, Jane

Visser, Jane is an individual health care provider with primary practice located at 300 Lafayette Ave Se Suite 4200, Grand Rapids MI 49503-4650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Visser, Jane can be contacted via phone (616) 685-6922.

Contact Information

Primary practice address
300 Lafayette Ave Se Suite 4200 Grand Rapids MI 49503-4650
Phone: (616) 685-6922
Fax: (616) 685-5105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704178469 Michigan

Profile Details

NPI number 1518913961
LBN Legal business name Visser, Jane
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518913961 NPPES
Michigan MEDICAID 4925197
Michigan MEDICAID 4425879

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