Kort, Andrea C
Kort, Andrea C is an individual health care provider with primary practice located at 733 Alger St Se , Grand Rapids MI 49507-3530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kort, Andrea C can be contacted via phone (616) 243-9515.Contact Information
Primary practice address
733 Alger St Se
Grand Rapids MI 49507-3530
Phone: (616) 243-9515
Fax: (616) 243-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301078413 | Michigan |
Profile Details
| NPI number | 1972592483 |
|---|---|
| LBN Legal business name | Kort, Andrea C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972592483 | NPPES |
| Michigan | MEDICAID | 4636407 |
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