Kathryn Bultman L.L.C. in Grand Rapids - Clinical
Kathryn Bultman L.L.C. - NPI 1124120670
Kathryn Bultman L.L.C. is a Clinical in Grand Rapids, Michigan. Kathryn Bultman L.L.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Bultman L.L.C. is 1124120670. The last update date is 2020-08-22.
Kathryn Bultman L.L.C.'s current location address is 2231 Ridgecroft Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164601857 and fax number 6164540061. The mailing address for Kathryn Bultman L.L.C. is 2231 Ridgecroft Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kathryn Bultman L.L.C. |
|---|---|
| Address | 2231 Ridgecroft Ave Se, Grand Rapids, Michigan |
| Phone Number | 6164601857 |
| Fax Number | 6164540061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL S |
|---|---|
| Authorized Official Name | Bultman Kathryn |
| Credentials | LMSW |
| Telephone Number | 6164601857 |
NPI Number Detail
| NPI Number | 1124120670 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2231 Ridgecroft Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495465759 |
| Phone Number | 6164601857 |
| Fax Number | 6164540061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801082187 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316972706 | MI | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the Kathryn Bultman L.L.C.'s unique identification number?
The Kathryn Bultman L.L.C. has been assigned the NPI (National Provider Identifier) Number 1124120670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kathryn Bultman L.L.C.'s physical address?
The Kathryn Bultman L.L.C. is physically located at 2231 Ridgecroft Ave Se, in the city of Grand Rapids, MI, with the postal code 495465759.
What is Kathryn Bultman L.L.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathryn Bultman L.L.C. is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Kathryn Bultman L.L.C. receive its 1124120670 assignment?
The Kathryn Bultman L.L.C. was assigned its 1124120670 on 2006-09-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kathryn Bultman L.L.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathryn Bultman L.L.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.