Healthcare Provider Details

I. General information

NPI: 1538285135
Provider Name (Legal Business Name): ARTHRITIS EDUCATION AND TREATMENT CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E PARIS AVE SE STE 100
GRAND RAPIDS MI
49546-8368
US

IV. Provider business mailing address

1155 E PARIS AVE SE STE 100
GRAND RAPIDS MI
49546-8368
US

V. Phone/Fax

Practice location:
  • Phone: 616-459-8088
  • Fax: 616-459-8312
Mailing address:
  • Phone: 616-459-8088
  • Fax: 616-459-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD W MARTIN
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 616-459-8088