Charbonneau, Lori

Charbonneau, Lori is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Charbonneau, Lori can be contacted via phone (231) 935-5000.

Contact Information

Primary practice address
1105 Sixth St Traverse City MI 49684-2349
Phone: (231) 935-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704118878 Michigan

Profile Details

NPI number 1932570330
LBN Legal business name Charbonneau, Lori
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Mar 29th, 2017 - 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.

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