Starr, Theresa K

Starr, Theresa K is an individual health care provider with primary practice located at 2373 64Th St Sw Ste 1300, Byron Center MI 49315-7974. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Starr, Theresa K can be contacted via phone (616) 685-1350.

Contact Information

Primary practice address
2373 64Th St Sw Ste 1300 Byron Center MI 49315-7974
Phone: (616) 685-1350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704182692 Michigan

Profile Details

NPI number 1255357794
LBN Legal business name Starr, Theresa K
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 13th, 2015 - about 11 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 1255357794 NPPES
Oklahoma MEDICAID 100059750A
Oklahoma MEDICAID 132360799
Oklahoma Other 5X927

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