Rhoades, Debra R

Rhoades, Debra R is an individual health care provider with primary practice located at 325 E H St , Iron Mountain MI 49801-4760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rhoades, Debra R can be contacted via phone (906) 774-3300.

Contact Information

Primary practice address
325 E H St Iron Mountain MI 49801-4760
Phone: (906) 774-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704194818 Michigan

Profile Details

NPI number 1326043324
LBN Legal business name Rhoades, Debra R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 14th, 2018 - 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 1326043324 NPPES
Other 43968000 EDS
Other 500008029 EDS
Other 500C610070 EDS
MEDICAID 4201526 EDS

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