Collier-Barstad, Deborah Jane
Collier-Barstad, Deborah Jane is an individual health care provider with primary practice located at 15255 Northline Rd , Southgate MI 48195-2487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Collier-Barstad, Deborah Jane can be contacted via phone (734) 285-3090.Contact Information
Primary practice address
15255 Northline Rd
Southgate MI 48195-2487
Phone: (734) 285-3090
Fax: (734) 285-3095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 4704158669 | Michigan |
Profile Details
NPI number | 1114064698 |
---|---|
LBN Legal business name | Collier-Barstad, Deborah Jane |
Credentials | Master of Science in Nursing (MSN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | Jul 9th, 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 | 1114064698 | NPPES |
Michigan | Other | 50-0-86-6148-0 | BCBSM PIN |
Michigan | MEDICAID | 296-0240 | BCBSM PIN |
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