Early, Alice M

Early, Alice M is an individual health care provider with primary practice located at 19933 W 13 Mile Rd , Southfield MI 48076-1024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Early, Alice M can be contacted via phone (248) 203-9000.

Contact Information

Primary practice address
19933 W 13 Mile Rd Southfield MI 48076-1024
Phone: (248) 203-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704104835 Michigan

Profile Details

NPI number 1073529061
LBN Legal business name Early, Alice M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 19th, 2022 - about 3 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 1073529061 NPPES
Michigan MEDICAID 4578760
Michigan Other 500F318190

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