Parada, Kenneth A
Parada, Kenneth A is an individual health care provider with primary practice located at 748 S Main St , Cheboygan MI 49721-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Parada, Kenneth A can be contacted via phone (231) 627-5601.Contact Information
Primary practice address
748 S Main St
Cheboygan MI 49721-2220
Phone: (231) 627-5601
Fax: (231) 627-1471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301050538 | Michigan |
Profile Details
| NPI number | 1588697718 |
|---|---|
| LBN Legal business name | Parada, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588697718 | NPPES |
| Michigan | MEDICAID | 2933627 | |
| Michigan | Other | 0801600151 |
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