Healthcare Provider Details
I. General information
NPI: 1689207334
Provider Name (Legal Business Name): HILL VIEW PSYCHIATRIC PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2020
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2774 BIRCHCREST DR SE
GRAND RAPIDS MI
49506-5477
US
IV. Provider business mailing address
2774 BIRCHCREST DR SE
GRAND RAPIDS MI
49506-5477
US
V. Phone/Fax
- Phone: 616-988-3422
- Fax: 616-381-3026
- Phone: 616-988-3422
- Fax: 616-381-3026
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAJJAD
R
SARWAR
Title or Position: OWNER
Credential: MD
Phone: 419-215-2447