Makedonsky, Michael M
Makedonsky, Michael M is an sole proprietor health care provider with primary practice located at 3501 Lake Eastbrook Blvd Se Suite 222, Grand Rapids MI 49546-5940. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Makedonsky, Michael M can be contacted via phone (616) 957-0730.Contact Information
Primary practice address
3501 Lake Eastbrook Blvd Se Suite 222
Grand Rapids MI 49546-5940
Phone: (616) 957-0730
Fax: (616) 957-1057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 000656 | Michigan |
Profile Details
| NPI number | 1760466056 |
|---|---|
| LBN Legal business name | Makedonsky, Michael M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 3rd, 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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