Mark Connar Eastburg in Grand Rapids - Clinical
Mark Connar Eastburg - NPI 1780610634
Mark Connar Eastburg is a Clinical in Grand Rapids, Michigan. Mark Connar Eastburg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Connar Eastburg is 1780610634. The last update date is 2022-11-17.
Mark Connar Eastburg's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Mark Connar Eastburg is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Connar Eastburg |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780610634 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301008255 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D16189031 | MI | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Connar Eastburg by the Centers for Medicare & Medicaid Services?
The Mark Connar Eastburg has been assigned the NPI (National Provider Identifier) 1780610634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Connar Eastburg is physically located?
The Mark Connar Eastburg is physically situated at the following address: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is the area of specialization for Mark Connar Eastburg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Connar Eastburg is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Mark Connar Eastburg's 1780610634 issued?
The Mark Connar Eastburg's 1780610634 was issued on 2006-06-23.
As of what date was the information pertaining to Mark Connar Eastburg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Connar Eastburg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-17.
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