Abbott, John
Abbott, John is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Abbott, John can be contacted via phone (231) 935-5770.Contact Information
Primary practice address
4100 Park Forest Dr Suite 210
Traverse City MI 49684
Phone: (231) 935-5770
Fax: (231) 935-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704185293 | Michigan |
Profile Details
| NPI number | 1326004029 |
|---|---|
| LBN Legal business name | Abbott, John |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Mar 23rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326004029 | NPPES |
| Michigan | MEDICAID | 104775376 |
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