Diffenderffer, Paul J.

Diffenderffer, Paul J. is an individual health care provider with primary practice located at 401 S Ballenger Hwy Attn Surgical Services, Flint MI 48532-3638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Diffenderffer, Paul J. can be contacted via phone (840) 342-4917.

Contact Information

Primary practice address
401 S Ballenger Hwy Attn Surgical Services Flint MI 48532-3638
Phone: (840) 342-4917
Fax: (810) 342-1335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704112417 Michigan

Profile Details

NPI number 1407829062
LBN Legal business name Diffenderffer, Paul J.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407829062 NPPES
Michigan Other PD112417 BLUE SHIELD
Michigan MEDICAID 1599758 BLUE SHIELD

Popular Providers