Southern, Joann
Southern, Joann is an individual health care provider with primary practice located at 2893 28Th St Se , Grand Rapids MI 49512-1622. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Southern, Joann can be contacted via phone (616) 241-1216.Contact Information
Primary practice address
2893 28Th St Se
Grand Rapids MI 49512-1622
Phone: (616) 241-1216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 2705001197 | Michigan |
Profile Details
| NPI number | 1578847612 |
|---|---|
| LBN Legal business name | Southern, Joann |
| Credentials | 2705001197 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2011 |
| Last updated | Oct 7th, 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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