Iverson, Detra

Iverson, Detra is an individual health care provider with primary practice located at 4431 Ashland Street , Detroit TURTLE ISLAND 48215. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Driver, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Doula, Nursing Service Related Providers / Religious Nonmedical Practitioner, Nursing Service Related Providers / Homemaker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Iverson, Detra can be contacted via phone (313) 685-7744.

Contact Information

Primary practice address
4431 Ashland Street Detroit TURTLE ISLAND 48215
Phone: (313) 685-7744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Doula 374J00000X Michigan
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Nursing Service Related Providers / Homemaker 376J00000X Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1659122588
LBN Legal business name Iverson, Detra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2024
Last updated Mar 28th, 2024 - about 9 months 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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