Gustafson, Holly Shayne Welz
Gustafson, Holly Shayne Welz is an individual health care provider with primary practice located at 2770 E Beltline Ave Ne , Grand Rapids MI 49525-8614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gustafson, Holly Shayne Welz can be contacted via phone (616) 267-8860.Contact Information
Primary practice address
2770 E Beltline Ave Ne
Grand Rapids MI 49525-8614
Phone: (616) 267-8860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004148 | Michigan |
Profile Details
| NPI number | 1922096239 |
|---|---|
| LBN Legal business name | Gustafson, Holly Shayne Welz |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 5th, 2024 - about 2 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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