Christine Bucholtz

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703097428 Issued in MI

Practice address

259 Lamoreaux Dr NW
Comstock Park, MI 49321-9128

Phone

(616) 970-3734

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2016.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1134572134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 LAMOREAUX DR NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219128",
            "telephone_number": "616-970-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 LAMOREAUX DR NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219128",
            "telephone_number": "616-970-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOLTZ",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703097428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Comstock Park, MI
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.