Dismuke, Desiree
Dismuke, Desiree is an sole proprietor health care provider with primary practice located at 19435 Woodmont St , Harper Woods MI 48225-1325. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dismuke, Desiree can be contacted via phone (586) 350-8196.Contact Information
Primary practice address
19435 Woodmont St
Harper Woods MI 48225-1325
Phone: (586) 350-8196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1598101032 |
|---|---|
| LBN Legal business name | Dismuke, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2013 |
| Last updated | May 10th, 2013 - about 12 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 | 1598101032 | NPPES |
| Michigan | MEDICAID | 000000000 |
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