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
Fax: (313) 576-1264
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619237021 NPPES
Michigan Other 4704251632 MI STATE LICENSE
Michigan Other 2011016916 MI STATE LICENSE

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