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Contact Information

VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP
801 HAZEN STREET
SUITE C
PAW PAW, MI49079-0249
 Phone: 269-657-5574
 Fax: 269-657-3474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP · (Female)

NPI # 1164744595
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2010
Last updated 02/26/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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