Gratiot-Deans, Jeanne Marie

Gratiot-Deans, Jeanne Marie is an individual health care provider with primary practice located at 330 E Beltline Ave Ne Suite 100, Grand Rapids MI 49506-1267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Gratiot-Deans, Jeanne Marie can be contacted via phone (616) 752-6235.

Contact Information

Primary practice address
330 E Beltline Ave Ne Suite 100 Grand Rapids MI 49506-1267
Phone: (616) 752-6235
Fax: (616) 752-6324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301054974 Michigan

Profile Details

NPI number 1508951971
LBN Legal business name Gratiot-Deans, Jeanne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 18th, 2011 - about 15 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 1508951971 NPPES
Michigan MEDICAID 3116251

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