Lane, Twanda
Lane, Twanda is an sole proprietor health care provider with primary practice located at 4118 Jefferson Dr , Sterling Heights MI 48310-4558. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Lane, Twanda can be contacted via phone (586) 995-7335.Contact Information
Primary practice address
4118 Jefferson Dr
Sterling Heights MI 48310-4558
Phone: (586) 995-7335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1306476312 |
|---|---|
| LBN Legal business name | Lane, Twanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2020 |
| Last updated | Jan 17th, 2020 - about 5 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 | 1306476312 | NPPES |
| Michigan | MEDICAID | 05 | |
| Michigan | Other | MEDICAIDE |
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