Pebbles, Theresa Jean

Pebbles, Theresa Jean is an individual health care provider with primary practice located at 1310 Wisconsin Street Suite 301, Grand Haven MI 49417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pebbles, Theresa Jean can be contacted via phone (616) 847-1860.

Contact Information

Primary practice address
1310 Wisconsin Street Suite 301 Grand Haven MI 49417
Phone: (616) 847-1860
Fax: (616) 844-4670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005030 Michigan

Profile Details

NPI number 1851594501
LBN Legal business name Pebbles, Theresa Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Aug 16th, 2019 - 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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