Pomerville, Genevieve Frances
Pomerville, Genevieve Frances is an sole proprietor health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Pomerville, Genevieve Frances can be contacted via phone (313) 576-1000.Contact Information
Primary practice address
4646 John R St
Detroit MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704251632 | Michigan |
Profile Details
| NPI number | 1619237021 |
|---|---|
| LBN Legal business name | Pomerville, Genevieve Frances |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2012 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1619237021 | NPPES |
| Michigan | Other | 4704251632 | MI STATE LICENSE |
| Michigan | Other | 2011016916 | MI STATE LICENSE |
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