Irish, Denese S
Irish, Denese S is an individual health care provider with primary practice located at 113 E Williams St , Owosso MI 48867-2360. 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. Irish, Denese S can be contacted via phone (989) 725-6101.Contact Information
Primary practice address
113 E Williams St
Owosso MI 48867-2360
Phone: (989) 725-6101
Fax: (989) 723-3601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003942 | Michigan |
Profile Details
| NPI number | 1093763088 |
|---|---|
| LBN Legal business name | Irish, Denese S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093763088 | NPPES |
| Other | 2057815630 | BCBSM PIN |
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