Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD A BOOKER JR.
Active Sole ProprietorMR. EDWARD A BOOKER JR. is a Substance Abuse Rehabilitation Facility healthcare provider located in GRAND RAPIDS, Michigan. NPI 1588918841 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1588918841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2012 (13.800047480394 yrs)
- Last Updated
- Nov 7, 2012
- License
-
410376 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1740 WILLARD AVE SEGRAND RAPIDS, MI, 495072662Browse MI providers · Browse ZIP 49507
- Phone
- 6168866917
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD DEBOSE | — | 1609129782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.