Dunbar-Gaynor, Micaela

Dunbar-Gaynor, Micaela is an sole proprietor health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-8323. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dunbar-Gaynor, Micaela can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-8323
Phone: (262) 948-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7599-023 Wisconsin

Profile Details

NPI number 1235669433
LBN Legal business name Dunbar-Gaynor, Micaela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2017
Last updated Apr 12th, 2024 - about last year

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 1235669433 NPPES
Michigan MEDICAID 1109109366

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