Pettway, Barbara Anne
Pettway, Barbara Anne is an sole proprietor health care provider with primary practice located at 1413 Field St , Detroit MI 48214-2321. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Early Intervention Provider Agency. Agencies / Case Management is her primary health care specialty. Pettway, Barbara Anne can be contacted via phone (313) 347-2070.Contact Information
Primary practice address
1413 Field St
Detroit MI 48214-2321
Phone: (313) 347-2070
Fax: (313) 579-1819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | Michigan | |
| Agencies / Early Intervention Provider Agency | 252Y00000X | Michigan |
Profile Details
| NPI number | 1548611528 |
|---|---|
| LBN Legal business name | Pettway, Barbara Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jun 30th, 2016 - about 9 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 | 1548611528 | NPPES |
| Michigan | MEDICAID | 38-15555827 |
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