Heron, Patricia

Heron, Patricia is an individual health care provider with primary practice located at 1091 S Beacon Blvd , Grand Haven MI 49417-2607. 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. Heron, Patricia can be contacted via phone (616) 604-0096.

Contact Information

Primary practice address
1091 S Beacon Blvd Grand Haven MI 49417-2607
Phone: (616) 604-0096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704237156 Michigan

Profile Details

NPI number 1164530556
LBN Legal business name Heron, Patricia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jun 24th, 2008 - about 16 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 1164530556 NPPES
Michigan MEDICAID 4811777
Michigan Other PH237156

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