Rivera, Theola J
Rivera, Theola J is an individual health care provider with primary practice located at 8180 26 Mile Rd Suite 100, Shelby Township MI 48316-5129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rivera, Theola J can be contacted via phone (586) 336-7321.Contact Information
Primary practice address
8180 26 Mile Rd Suite 100
Shelby Township MI 48316-5129
Phone: (586) 336-7321
Fax: (586) 336-7356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704294800 | Michigan |
Profile Details
| NPI number | 1073157756 |
|---|---|
| LBN Legal business name | Rivera, Theola J |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2019 |
| Last updated | Mar 18th, 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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