Koon, Madison Alyse
Koon, Madison Alyse is an sole proprietor health care provider with primary practice located at 1428 S Lapeer Rd , Lake Orion MI 48360-1437. 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. Koon, Madison Alyse can be contacted via phone (248) 693-0543.Contact Information
Primary practice address
1428 S Lapeer Rd
Lake Orion MI 48360-1437
Phone: (248) 693-0543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601011346 | Michigan |
Profile Details
| NPI number | 1598486326 |
|---|---|
| LBN Legal business name | Koon, Madison Alyse |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2022 |
| Last updated | Dec 19th, 2022 - 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.
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