Meuzelaar, Calvin Mark

Meuzelaar, Calvin Mark is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Meuzelaar, Calvin Mark can be contacted via phone (616) 455-5270.

Contact Information

Primary practice address
300 68Th St Se Grand Rapids MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 455-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00572 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801019786 Michigan

Profile Details

NPI number 1013952167
LBN Legal business name Meuzelaar, Calvin Mark
Credentials LISW, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 21st, 2018 - about 7 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 1013952167 NPPES
Iowa MEDICAID 0136234

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