Beverwyk, Thomas Jay

Beverwyk, Thomas Jay is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 205 , Grand Rapids MI 49546-8292. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beverwyk, Thomas Jay can be contacted via phone (515) 267-7414.

Contact Information

Primary practice address
4100 Lake Dr Se Ste 205 Grand Rapids MI 49546-8292
Phone: (515) 267-7414
Fax: (616) 267-7137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005649 Michigan

Profile Details

NPI number 1699001156
LBN Legal business name Beverwyk, Thomas Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2009
Last updated Jul 21st, 2021 - 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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