Rockafellow, Kyle

Rockafellow, Kyle is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Rockafellow, Kyle can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Fax:
Website:

Health care specialties

Profile Details

NPI number 1306339890
LBN Legal business name Rockafellow, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Jun 11th, 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 1306339890 NPPES
Michigan MEDICAID 1715928

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