Msipha, Ketiwe H

Msipha, Ketiwe H is an sole proprietor health care provider with primary practice located at 2051 W Grand Blvd , Detroit MI 48208-1105. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Msipha, Ketiwe H can be contacted via phone (313) 961-3700.

Contact Information

Primary practice address
2051 W Grand Blvd Detroit MI 48208-1105
Fax: (313) 961-3769
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 6802084028 Michigan

Profile Details

NPI number 1164516639
LBN Legal business name Msipha, Ketiwe H
Credentials SWT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1164516639 NPPES
Michigan Other 6802084028 STATE LICENSE NUMBER

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