Freeborn, Kacie Ann
Freeborn, Kacie Ann is an individual health care provider with primary practice located at 4045 West Royal Drive , Traverse City MI 49684-8965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Freeborn, Kacie Ann can be contacted via phone (231) 935-0900.Contact Information
Primary practice address
4045 West Royal Drive
Traverse City MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5601005684 | Michigan |
Profile Details
| NPI number | 1518294495 |
|---|---|
| LBN Legal business name | Freeborn, Kacie Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2009 |
| Last updated | May 3rd, 2012 - about 13 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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