Fisk Solutions, Llc | |
3923 Kearney Dr Ne Grand Rapids MI 49525-1820 | |
(616) 888-1113 | |
Not Available |
Full Name | Fisk Solutions, Llc |
---|---|
Speciality | Social Worker |
Location | 3923 Kearney Dr Ne, Grand Rapids, Michigan |
Authorized Official Name and Position | Erin Williams Fisk (CEO/FOUNDER) |
Authorized Official Contact | 6168881113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fisk Solutions, Llc 3923 Kearney Dr Ne Grand Rapids MI 49525-1820 Ph: (616) 888-1113 | Fisk Solutions, Llc 3923 Kearney Dr Ne Grand Rapids MI 49525-1820 Ph: (616) 888-1113 |
NPI Number | 1508564584 |
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Provider Enumeration Date | 02/20/2023 |
Last Update Date | 02/20/2023 |
Certification Date | 02/20/2023 |
Medicare PECOS PAC ID | 1052761947 |
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Medicare Enrollment ID | O20231218004050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508564584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Erin Williams Fisk |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700134038 PECOS PAC ID: 1052704798 Enrollment ID: I20220202000718 |
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