Wieczorek, Erin E

Wieczorek, Erin E is an individual health care provider with primary practice located at 2100 Raybrook St. Se Ste 203, Grand Rapids MI 49546. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wieczorek, Erin E can be contacted via phone (616) 956-9440.

Contact Information

Primary practice address
2100 Raybrook St. Se Ste 203 Grand Rapids MI 49546
Phone: (616) 956-9440
Fax: (616) 954-1520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802082638 Michigan

Profile Details

NPI number 1205893815
LBN Legal business name Wieczorek, Erin E
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 11th, 2022 - about 4 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 1205893815 NPPES
Michigan MEDICAID 774508891

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