King, Adam Mathew

King, Adam Mathew is an individual health care provider with primary practice located at 1550 E Beltline Ave Se Ste 175 , Grand Rapids MI 49506-4362. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacy Technician is his primary health care specialty. King, Adam Mathew can be contacted via phone (616) 575-0211.

Contact Information

Primary practice address
1550 E Beltline Ave Se Ste 175 Grand Rapids MI 49506-4362
Phone: (616) 575-0211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Pharmacy Service Providers / Pharmacy Technician 183700000X 5303000545 Michigan

Profile Details

NPI number 1912473844
LBN Legal business name King, Adam Mathew
Credentials CPHT, PRS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2018
Last updated Aug 22nd, 2019 - about 6 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 1912473844 NPPES
Michigan Other 490107010039286 PHARMACY TECHNICAN CERTIFICATION BOARD
Michigan Other 5303000545 PHARMACY TECHNICAN CERTIFICATION BOARD

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