Abbo, Miranda Davina

Abbo, Miranda Davina is an sole proprietor health care provider with primary practice located at 1770 Fort St , Lincoln Park MI 48146-1904. She recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as her primary health care specialty. Abbo, Miranda Davina can be contacted via phone (313) 466-4000.

Contact Information

Primary practice address
1770 Fort St Lincoln Park MI 48146-1904
Phone: (313) 466-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1265029144
LBN Legal business name Abbo, Miranda Davina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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