Deruiter, Mark R
Deruiter, Mark R is an sole proprietor health care provider with primary practice located at 778 Columbia Ave W , Battle Creek MI 49015-3028. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Deruiter, Mark R can be contacted via phone (269) 965-3247.Contact Information
Primary practice address
778 Columbia Ave W
Battle Creek MI 49015-3028
Phone: (269) 965-3247
Fax: (269) 966-4135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4101006710 | Michigan |
Profile Details
| NPI number | 1902340136 |
|---|---|
| LBN Legal business name | Deruiter, Mark R |
| Credentials | MA, LLMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2016 |
| Last updated | Dec 7th, 2016 - about 9 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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