Debolt, Mari I
Debolt, Mari I is an sole proprietor health care provider with primary practice located at 123 N Pine St , Saint Louis MI 48880-1428. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Debolt, Mari I can be contacted via phone (989) 721-0857.Contact Information
Primary practice address
123 N Pine St
Saint Louis MI 48880-1428
Phone: (989) 721-0857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 1934415 | Michigan |
Profile Details
| NPI number | 1265092589 |
|---|---|
| LBN Legal business name | Debolt, Mari I |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Jun 18th, 2019 - about 5 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 | 1265092589 | NPPES |
| Michigan | Other | 1934415 | EMERGENCY MEDICAL TECHNICIAN LICENSE |
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