Pemberton, John

Pemberton, John is an sole proprietor health care provider with primary practice located at 23491 Norwood St , Oak Park MI 48237-2203. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Pemberton, John can be contacted via phone (248) 495-9694.

Contact Information

Primary practice address
23491 Norwood St Oak Park MI 48237-2203
Phone: (248) 495-9694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704327563 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704327563 Michigan

Profile Details

NPI number 1093406514
LBN Legal business name Pemberton, John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2023
Last updated Aug 24th, 2023 - about last year

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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