Degram, Debra Sue

Degram, Debra Sue is an individual health care provider with primary practice located at 664 Michigan Ave , Holland MI 49423-4944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Degram, Debra Sue can be contacted via phone (616) 392-5973.

Contact Information

Primary practice address
664 Michigan Ave Holland MI 49423-4944
Phone: (616) 392-5973
Fax: (616) 392-1646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704132616 Michigan

Profile Details

NPI number 1346331139
LBN Legal business name Degram, Debra Sue
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Feb 2nd, 2021 - about 4 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 1346331139 NPPES
Michigan Other 0876976 BCBSM IND. PIN
Michigan Other 420G012010 BCBSM IND. PIN
Michigan Other DF4619 BCBSM IND. PIN
Michigan Other 0G01201 BCBSM IND. PIN

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