Vriesman, Mark A

Vriesman, Mark A is an individual health care provider with primary practice located at 1095 3Rd St Suite 125, Muskegon MI 49441-1976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Vriesman, Mark A can be contacted via phone (231) 726-4735.

Contact Information

Primary practice address
1095 3Rd St Suite 125 Muskegon MI 49441-1976
Phone: (231) 726-4735
Fax: (231) 722-0789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669532099
LBN Legal business name Vriesman, Mark A
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1669532099 NPPES
Michigan MEDICAID 1712452

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