Habenicht, Deborah
Habenicht, Deborah is an individual health care provider with primary practice located at 42 North St.Joseph Ave Suite 300, Niles MI 49120-2296. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Habenicht, Deborah can be contacted via phone (269) 687-2910.Contact Information
Primary practice address
42 North St.Joseph Ave Suite 300
Niles MI 49120-2296
Phone: (269) 687-2910
Fax: (269) 687-8770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301074195 | Michigan |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4301074195 | Michigan |
Profile Details
| NPI number | 1467424218 |
|---|---|
| LBN Legal business name | Habenicht, Deborah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1467424218 | NPPES |
| Michigan | Other | 0401111441 | BCBS |
| Michigan | MEDICAID | 451503610 | BCBS |
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