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Contact Information

MACKENZIE E ONDERSMA, ATC
111 LYON ST
GRAND RAPIDS, MI49503
 Phone: 616-234-4260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MACKENZIE E ONDERSMA · (Female)

NPI # 1871130237
Status Active
Credentials ATC
Entity Individual
Enumeration date 12/04/2019
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # TCA891
  • MI License # 2601002802
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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