Blackshire-Tubie, Sharon

Blackshire-Tubie, Sharon is an individual health care provider with primary practice located at 20755 Greenfield Rd #203, Southfield MI 48075-5403. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Blackshire-Tubie, Sharon can be contacted via phone (248) 395-2206.

Contact Information

Primary practice address
20755 Greenfield Rd #203 Southfield MI 48075-5403
Phone: (248) 395-2206
Fax: (248) 395-0456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4704242202 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704242202 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704242202 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704242202 Michigan

Profile Details

NPI number 1245764737
LBN Legal business name Blackshire-Tubie, Sharon
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2017
Last updated Mar 9th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245764737 NPPES
Michigan MEDICAID 4341231

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