Duncan, Deborah L

Duncan, Deborah L is an individual health care provider with primary practice located at 102 N Adelaide St , Fenton MI 48430-2670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Duncan, Deborah L can be contacted via phone (810) 629-2245.

Contact Information

Primary practice address
102 N Adelaide St Fenton MI 48430-2670
Phone: (810) 629-2245
Fax: (810) 629-6535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301051746 Michigan

Profile Details

NPI number 1760452247
LBN Legal business name Duncan, Deborah L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 23rd, 2009 - about 16 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 1760452247 NPPES
Michigan Other 381746096 FEDERAL TAX ID # FOR GROU
Michigan Other 080015597 FEDERAL TAX ID # FOR GROU
Michigan Other 1002567 FEDERAL TAX ID # FOR GROU
Michigan Other 1023526096 FEDERAL TAX ID # FOR GROU
Michigan MEDICAID 2640376 FEDERAL TAX ID # FOR GROU
Michigan Other 0B56256005 FEDERAL TAX ID # FOR GROU
Michigan Other 0253709 FEDERAL TAX ID # FOR GROU

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