Rosema, Andrea R
Rosema, Andrea R is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rosema, Andrea R can be contacted via phone (800) 678-5500.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (800) 678-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401008777 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6401008777 | Michigan |
Profile Details
| NPI number | 1700962263 |
|---|---|
| LBN Legal business name | Rosema, Andrea R |
| Credentials | MA, LPC, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700962263 | NPPES |
| Michigan | MEDICAID | 1712452 |
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