Prusak, Tisha
Prusak, Tisha is an individual health care provider with primary practice located at 5301 E Huron River Dr Dept Of Anesthesiology, Ypsilanti MI 48197-1051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Prusak, Tisha can be contacted via phone (734) 712-3840.Contact Information
Primary practice address
5301 E Huron River Dr Dept Of Anesthesiology
Ypsilanti MI 48197-1051
Phone: (734) 712-3840
Fax: (734) 712-5526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704207329 | Michigan |
Profile Details
| NPI number | 1740241140 |
|---|---|
| LBN Legal business name | Prusak, Tisha |
| Credentials | CRNA MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Apr 23rd, 2008 - about 16 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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