Individual
MARK THEODORE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
450 MEADOW RUN DR, HASTINGS, MI 49058-9053
(616) 891-8770
(616) 891-3504
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301009792
MI
103T00000X
Psychologist
Primary
6361004091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC/BS
P10D11275
MI
Enumeration date
06/30/2006
Last updated
03/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us