Gautz, Dan

Gautz, Dan is an individual health care provider with primary practice located at O-1859 Lake Michigan Dr Nw , Grand Rapids MI 49534-9578. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Gautz, Dan can be contacted via phone (616) 677-5251.

Contact Information

Primary practice address
O-1859 Lake Michigan Dr Nw Grand Rapids MI 49534-9578
Phone: (616) 677-5251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1396140919
LBN Legal business name Gautz, Dan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Oct 24th, 2014 - about 11 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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