Cischke, Kevin Louis

Cischke, Kevin Louis is an sole proprietor health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Cischke, Kevin Louis can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Phone: (313) 576-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN.416348 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.023948 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704341344 Michigan

Profile Details

NPI number 1467929927
LBN Legal business name Cischke, Kevin Louis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2018
Last updated Oct 11th, 2022 - about 2 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 1467929927 NPPES
Michigan Other 4704341344 STATE OF MICHIGAN LICENSE

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