Peven, Debra
Peven, Debra is an sole proprietor health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Peven, Debra can be contacted via phone (313) 916-2585.Contact Information
Primary practice address
6777 W Maple Rd
West Bloomfield MI 48322-3013
Phone: (313) 916-2585
Fax: (313) 916-3014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DP009646 | Michigan |
Profile Details
| NPI number | 1629049879 |
|---|---|
| LBN Legal business name | Peven, Debra |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Apr 26th, 2013 - about 11 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 | 1629049879 | NPPES |
| Michigan | MEDICAID | 114651261 | |
| Michigan | Other | 1356510065 | |
| Michigan | Other | 1012243 | |
| Michigan | Other | 1012243 | |
| Michigan | Other | P00203101 |
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