Theodore J Jansma in Grand Rapids - Clinical
Theodore J Jansma - NPI 1316924525
Theodore J Jansma is a Clinical in Grand Rapids, Michigan. Theodore J Jansma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore J Jansma is 1316924525. The last update date is 2008-06-26.
Theodore J Jansma's current location address is 3330 Claystone St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169428060 and fax number 6169426690. The mailing address for Theodore J Jansma is 3330 Claystone St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore J Jansma |
|---|---|
| Address | 3330 Claystone St Se, Grand Rapids, Michigan |
| Phone Number | 6169428060 |
| Fax Number | 6169426690 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1316924525 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 3330 Claystone St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495467716 |
| Phone Number | 6169428060 |
| Fax Number | 6169426690 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301001233 |
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Post Comment/ Review Below
What is the unique identification code assigned to Theodore J Jansma by the Centers for Medicare & Medicaid Services?
The Theodore J Jansma has been issued the NPI (National Provider Identifier) 1316924525. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theodore J Jansma's facilities are situated?
The facilities of Theodore J Jansma are physically located at the following address: 3330 Claystone St Se, Grand Rapids, MI, 495467716.
What is Theodore J Jansma's area of expertise and its corresponding taxonomy classification?
The Theodore J Jansma's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Theodore J Jansma receive its 1316924525 assignment from the Centers for Medicare & Medicaid Services?
The Theodore J Jansma was assigned its 1316924525 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Theodore J Jansma, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore J Jansma, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-26.