Kendziera, Dean Patrick
Kendziera, Dean Patrick is an individual health care provider with primary practice located at 1400 Mercy Dr Ste 100 , Muskegon MI 49444-1833. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kendziera, Dean Patrick can be contacted via phone (231) 733-1326.Contact Information
Primary practice address
1400 Mercy Dr Ste 100
Muskegon MI 49444-1833
Phone: (231) 733-1326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008307 | Michigan |
Profile Details
| NPI number | 1750382735 |
|---|---|
| LBN Legal business name | Kendziera, Dean Patrick |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 2nd, 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 | 1750382735 | NPPES |
| Michigan | Other | P26877 | PRIORITY HEALTH |
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