Niemeyer, Mary J

Niemeyer, Mary J is an individual health care provider with primary practice located at 3828 Kentucky Ln , Hudsonville MI 49426-8107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niemeyer, Mary J can be contacted via phone (616) 340-4633.

Contact Information

Primary practice address
3828 Kentucky Ln Hudsonville MI 49426-8107
Phone: (616) 340-4633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704190536 Michigan

Profile Details

NPI number 1477530475
LBN Legal business name Niemeyer, Mary J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 9th, 2014 - about 12 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 1477530475 NPPES
Michigan Other P00321466 RAILROAD MEDICARE
Michigan Other MN190536 RAILROAD MEDICARE
Michigan MEDICAID 4831608 RAILROAD MEDICARE

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