Callejo-Covacha, Abigail
Callejo-Covacha, Abigail is an individual health care provider with primary practice located at 44201 Dequindre Rd 400 Fsc - Pcs, Troy MI 48085-1198. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Callejo-Covacha, Abigail can be contacted via phone (248) 423-3144.Contact Information
Primary practice address
44201 Dequindre Rd 400 Fsc - Pcs
Troy MI 48085-1198
Phone: (248) 423-3144
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704202474 | Michigan |
Profile Details
NPI number | 1407822323 |
---|---|
LBN Legal business name | Callejo-Covacha, Abigail |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1407822323 | NPPES |
Michigan | MEDICAID | 4651440 |
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