Ice, Anne Mare
Ice, Anne Mare is an sole proprietor health care provider with primary practice located at 23077 Greenfield Rd Ste 200 , Southfield MI 48075-3750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ice, Anne Mare can be contacted via phone (313) 824-1000.Contact Information
Primary practice address
23077 Greenfield Rd Ste 200
Southfield MI 48075-3750
Phone: (313) 824-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301031683 | Michigan |
Profile Details
| NPI number | 1902839764 |
|---|---|
| LBN Legal business name | Ice, Anne Mare |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 9th, 2024 - about last year |
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 | 1902839764 | NPPES |
| Michigan | MEDICAID | 1066910 |
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