Luetkemeier, Patricia Ann
Luetkemeier, Patricia Ann is an individual health care provider with primary practice located at 211 S Crapo St Ste L, Mt Pleasant MI 48858-2961. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Luetkemeier, Patricia Ann can be contacted via phone (989) 772-1213.Contact Information
Primary practice address
211 S Crapo St Ste L
Mt Pleasant MI 48858-2961
Phone: (989) 772-1213
Fax: (989) 772-7147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704232202 | Michigan |
Profile Details
| NPI number | 1376547836 |
|---|---|
| LBN Legal business name | Luetkemeier, Patricia Ann |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Feb 15th, 2008 - about 16 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 | 1376547836 | NPPES |
| Michigan | MEDICAID | 4998504 | |
| Michigan | Other | 5008754770 |
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