Pawlanta, Kathleen Marie
Pawlanta, Kathleen Marie is an individual health care provider with primary practice located at 829 N Center Ave Suite 210, Gaylord MI 49735-1595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pawlanta, Kathleen Marie can be contacted via phone (989) 731-7860.Contact Information
Primary practice address
829 N Center Ave Suite 210
Gaylord MI 49735-1595
Phone: (989) 731-7860
Fax: (989) 731-7954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704196460 | Michigan |
Profile Details
| NPI number | 1225055833 |
|---|---|
| LBN Legal business name | Pawlanta, Kathleen Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 23rd, 2020 - about 4 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 | 1225055833 | NPPES |
| Other | DC6258 | MEDICARE RR PROV ID | |
| Other | 381303843 | MEDICARE RR PROV ID | |
| MEDICAID | 4600629 | MEDICARE RR PROV ID | |
| Other | OF96004 | MEDICARE RR PROV ID |
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