Equihua, Debra Ann

Equihua, Debra Ann is an individual health care provider with primary practice located at 2269 W 25Th Ave , Gary IN 46404-3367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Equihua, Debra Ann can be contacted via phone (219) 944-4187.

Contact Information

Primary practice address
2269 W 25Th Ave Gary IN 46404-3367
Phone: (219) 944-4187
Fax: (219) 944-4196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000093A Indiana

Profile Details

NPI number 1396819355
LBN Legal business name Equihua, Debra Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Oct 31st, 2007 - about 18 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 1396819355 NPPES
Indiana MEDICAID 200461140

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