Gano, Mary Kathryn

Gano, Mary Kathryn is an sole proprietor health care provider with primary practice located at 345 North County Line Hwy , Deerfield MI 49238. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Gano, Mary Kathryn can be contacted via phone (517) 447-4053.

Contact Information

Primary practice address
345 North County Line Hwy Deerfield MI 49238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 47-04-198423 Michigan

Profile Details

NPI number 1689769093
LBN Legal business name Gano, Mary Kathryn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 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 1689769093 NPPES
Michigan MEDICAID 4882886

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