Grain, Cheryl A
Grain, Cheryl A is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Fsc, Royal Oak MI 48073-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grain, Cheryl A can be contacted via phone (248) 423-2454.Contact Information
Primary practice address
3601 W 13 Mile Rd Fsc
Royal Oak MI 48073-6712
Phone: (248) 423-2454
Fax: (248) 423-2576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704126733 | Michigan |
Profile Details
| NPI number | 1437155538 |
|---|---|
| LBN Legal business name | Grain, Cheryl A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Feb 15th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437155538 | NPPES |
| Michigan | MEDICAID | 4899883 | |
| Michigan | Other | 500F31819 |
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