Emrich, Kathleen Agnes

Emrich, Kathleen Agnes is an sole proprietor health care provider with primary practice located at 10 Peterboro St , Detroit MI 48201-2722. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Emrich, Kathleen Agnes can be contacted via phone (313) 831-3160.

Contact Information

Primary practice address
10 Peterboro St Detroit MI 48201-2722
Phone: (313) 831-3160
Fax: (313) 831-2604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 4704080902 Michigan
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 4704080902 Michigan

Profile Details

NPI number 1609064690
LBN Legal business name Emrich, Kathleen Agnes
Credentials APRN,BC,N.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2007
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609064690 NPPES
Michigan MEDICAID 4754509

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