JOHN EAGLE JR. (NPI# 1306223359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306223359 |
| Entity Type | Individual |
| Full Name | JOHN EAGLE JR. |
| Credential | BA/LBSW |
| Practice Address |
3283 122nd Ave. Allegan MI 49010 |
| Mailing Address |
3283 122nd Ave Allegan MI 49010-9511 |
| Practice Telephone | 2696735854 |
| Mailing Telephone | 2696735854 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6802082302 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3283 122ND AVE. |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| 1578883807 | Christopher Douglas Harris | Pharmacist | 100 Monroe St, Suite B, Allegan, MI 49010 | 2010-06-09 |
| Find all providers in zip 49010 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1235590043 | Bethany Christian Services | Social Worker | 892 Marshall St, Allegan, MI 49010-1637 | 2016-03-08 |
| 1093144685 | Lindsay Medendorp | Social Worker | 3285 122nd Ave Po Drawer 130, Allegan, MI 49010-0130 | 2013-11-05 |
| 1033742713 | Susan L Holcomb | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2020-02-20 |
| 1063063667 | Jacob Fuller | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2019-09-25 |
| 1427611672 | Caitlin Bradley | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2019-04-15 |
| 1255898490 | Alisa Becklar | Social Worker | 3283 122nd Ave, Allegan, MI 49010-9511 | 2019-02-25 |
| 1114483344 | Phyllis Hepp | Social Worker | 530 Linn St, Allegan, MI 49010-1562 | 2019-02-12 |
| 1801364484 | Eve Parker | Social Worker | 3283 122nd Ave, Allegan, MI 49010-9511 | 2018-11-13 |
| 1588148191 | Elondra Varice | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2018-09-19 |
| Find all providers in ALLEGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.