Reck, Stephanie

Reck, Stephanie is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. 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. Reck, Stephanie can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (952) 442-9770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704206853 Michigan

Profile Details

NPI number 1386603892
LBN Legal business name Reck, Stephanie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Apr 22nd, 2015 - about 9 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 1386603892 NPPES
Michigan MEDICAID 104378204
Michigan Other SR206853

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