Fleischmann Frick, Maryann T

Fleischmann Frick, Maryann T is an individual health care provider with primary practice located at 9249 W Lake City Rd , Houghton Lake MI 48629-9602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fleischmann Frick, Maryann T can be contacted via phone (989) 422-5122.

Contact Information

Primary practice address
9249 W Lake City Rd Houghton Lake MI 48629-9602
Phone: (989) 422-5122
Fax: (989) 422-4378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704132514 Michigan

Profile Details

NPI number 1366629651
LBN Legal business name Fleischmann Frick, Maryann T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Mar 9th, 2012 - about 12 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 1366629651 NPPES
Michigan Other 12193120 CAQH

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