Healthcare Provider Details

I. General information

NPI: 1497982953
Provider Name (Legal Business Name): CHRISTOPHER POSTEMA M.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 E BELTLINE CT NE STE 100
GRAND RAPIDS MI
49525
US

IV. Provider business mailing address

3280 E BELTLINE CT NE STE 100
GRAND RAPIDS MI
49525-9494
US

V. Phone/Fax

Practice location:
  • Phone: 616-706-2036
  • Fax: 888-972-5087
Mailing address:
  • Phone: 616-706-2036
  • Fax: 888-972-5087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801090305
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: