| Betsy Rosenbrook Therapy | |
|
5242 Plainfield Ave Ne Ste E Grand Rapids MI 49525-1084 | |
| (616) 706-8821 | |
| Not Available |
| Full Name | Betsy Rosenbrook Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 5242 Plainfield Ave Ne Ste E, Grand Rapids, Michigan |
| Authorized Official Name and Position | Elizabeth Rosenbrook (SELF/OWNER) |
| Authorized Official Contact | 6167068821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betsy Rosenbrook Therapy Po Box 1767 Grand Rapids MI 49501-1767 Ph: (616) 235-2090 | Betsy Rosenbrook Therapy 5242 Plainfield Ave Ne Ste E Grand Rapids MI 49525-1084 Ph: (616) 706-8821 |
| NPI Number | 1689290025 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 9537566203 |
|---|---|
| Medicare Enrollment ID | O20210922002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689290025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth M Rosenbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477110989 PECOS PAC ID: 0446657118 Enrollment ID: I20210922002355 |
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