Powell, Ava Ann

Powell, Ava Ann is an individual health care provider with primary practice located at 36175 Harper Ave , Clinton Twp MI 48035-3274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Powell, Ava Ann can be contacted via phone (586) 464-0731.

Contact Information

Primary practice address
36175 Harper Ave Clinton Twp MI 48035-3274
Phone: (586) 464-0731
Fax: (586) 464-1954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 070529 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101017313 Michigan

Profile Details

NPI number 1083854343
LBN Legal business name Powell, Ava Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2009
Last updated Mar 4th, 2021 - about 3 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 1083854343 NPPES
Georgia Other 52609286002 BCBSGA
Georgia Other P01224298 BCBSGA
Georgia Other 52609286001 BCBSGA
Georgia MEDICAID 003137958A BCBSGA
Georgia MEDICAID 003137966A BCBSGA

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