Craig Robert Vander Maas in Grand Rapids - Professional
Craig Robert Vander Maas - NPI 1497774509
Craig Robert Vander Maas is a Professional in Grand Rapids, Michigan. Craig Robert Vander Maas practices all healthcare services and medical treatments related to Professional. The NPI Number for Craig Robert Vander Maas is 1497774509. The last update date is 2008-11-19.
Craig Robert Vander Maas's current location address is 61 Commerce Ave Sw, Grand Rapids, Michigan. You can contact this provider via phone number 6169400660 and fax number 6169401965. The mailing address for Craig Robert Vander Maas is 61 Commerce Ave Sw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Robert Vander Maas |
|---|---|
| Address | 61 Commerce Ave Sw, Grand Rapids, Michigan |
| Phone Number | 6169400660 |
| Fax Number | 6169401965 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1497774509 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2008-11-19 |
Provider Mailing Address Detail
| Address | 61 Commerce Ave Sw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034124 |
| Phone Number | 6169400660 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401003522 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44021 | VALUE OPTIONS | ||
| 680D146850 | MI | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Craig Robert Vander Maas by the Centers for Medicare & Medicaid Services (CMS)?
The Craig Robert Vander Maas has been assigned the NPI (National Provider Identifier) 1497774509. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Craig Robert Vander Maas located?
The Craig Robert Vander Maas is located at 61 Commerce Ave Sw, Grand Rapids, MI 495034124.
What is the Craig Robert Vander Maas's specialty and taxonomy code?
The Craig Robert Vander Maas's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Craig Robert Vander Maas receive the assignment of its 1497774509 from the Centers for Medicare & Medicaid Services?
The Craig Robert Vander Maas was issued its 1497774509 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information pertaining to Craig Robert Vander Maas most recently updated or revised?
The details related to Craig Robert Vander Maas, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-19.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH