Mike Jay Pontius in Grand Rapids - Professional

Mike Jay Pontius - NPI 1437222171

Mike Jay Pontius is a Professional in Grand Rapids, Michigan. Mike Jay Pontius practices all healthcare services and medical treatments related to Professional. The NPI Number for Mike Jay Pontius is 1437222171. The last update date is 2007-07-08.

Mike Jay Pontius's current location address is 40 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169889388 and fax number 6167326392. The mailing address for Mike Jay Pontius is 40 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mike Jay Pontius
Address 40 Jefferson Ave Se, Grand Rapids, Michigan
Phone Number 6169889388
Fax Number 6167326392
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1437222171
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 40 Jefferson Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495034304
Phone Number 6169889388
Fax Number 6167326392

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 6401006132
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Mike Jay Pontius

What is the unique identifier code issued to Mike Jay Pontius by the Centers for Medicare & Medicaid Services (CMS)?

The Mike Jay Pontius has been assigned the NPI (National Provider Identifier) 1437222171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Mike Jay Pontius is geographically located?

The Mike Jay Pontius is physically situated at the following location: 40 Jefferson Ave Se, Grand Rapids, MI, 495034304.

What is Mike Jay Pontius's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mike Jay Pontius is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437222171 to Mike Jay Pontius?

The Mike Jay Pontius received its 1437222171 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.

As of what date were the details pertaining to Mike Jay Pontius last refreshed?

The information related to the Mike Jay Pontius, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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