Marvicsin, Donna Jean

Marvicsin, Donna Jean is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Suite 707, Royal Oak MI 48073-6770. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Marvicsin, Donna Jean can be contacted via phone (248) 551-0487.

Contact Information

Primary practice address
3535 W 13 Mile Rd Suite 707 Royal Oak MI 48073-6770
Phone: (248) 551-0487
Fax: (248) 551-3696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704135783 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704135783 Michigan

Profile Details

NPI number 1811903784
LBN Legal business name Marvicsin, Donna Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 23rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811903784 NPPES
Michigan MEDICAID 4578770
Michigan Other 500F318190

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