Healthcare Provider Details
I. General information
NPI: 1881844967
Provider Name (Legal Business Name): PROMPTER CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
743 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-6045
US
IV. Provider business mailing address
743 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-6045
US
V. Phone/Fax
- Phone: 703-533-5534
- Fax:
- Phone: 703-533-5534
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
KUSTER
Title or Position: MEDICAL DIRECTOR
Credential: D.O
Phone: 703-533-5534