Werner, Rebecca L

Werner, Rebecca L is an individual health care provider with primary practice located at 4285 Parkway Place Dr Sw , Grandville MI 49418-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Werner, Rebecca L can be contacted via phone (616) 252-4300.

Contact Information

Primary practice address
4285 Parkway Place Dr Sw Grandville MI 49418-2385
Fax: (616) 252-4396
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301076972 Michigan

Profile Details

NPI number 1629034244
LBN Legal business name Werner, Rebecca L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated May 20th, 2019 - about 5 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 1629034244 NPPES
Michigan MEDICAID 4230608
Michigan MEDICAID 4467618
Michigan Other 080A760010

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