1851440424 NPI number — MRS. JANINE MARIE KERKSTRA PAC

Table of content: FRANCES I. SWARN M.D. (NPI 1508983537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851440424 NPI number — MRS. JANINE MARIE KERKSTRA PAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KERKSTRA
Provider First Name:
JANINE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WALTEREIT
Provider Other First Name:
JANINE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PAC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851440424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
503 CENTURY LN
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
HOLLAND
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-295-8284
Provider Business Mailing Address Fax Number:
616-834-0446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
503 CENTURY LN
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
HOLLAND
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-295-8284
Provider Business Practice Location Address Fax Number:
616-834-0446
Provider Enumeration Date:
01/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  5601004513 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X , with the licence number: 5601004513 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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