Grifka, Deanna

Grifka, Deanna is an individual health care provider with primary practice located at 11900 E 12 Mile Rd Suite # 111, Warren MI 48093-3400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grifka, Deanna can be contacted via phone (586) 573-5300.

Contact Information

Primary practice address
11900 E 12 Mile Rd Suite # 111 Warren MI 48093-3400
Phone: (586) 573-5300
Fax: (586) 573-5304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103122 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004096 Michigan

Profile Details

NPI number 1689611402
LBN Legal business name Grifka, Deanna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689611402 NPPES
Florida MEDICAID 29Z314900
Florida Other M57830007
Florida MEDICAID 292314900

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