Roetherford, Mia Korinne

Roetherford, Mia Korinne is an sole proprietor health care provider with primary practice located at 18697 Sunderland Rd , Detroit MI 48219-2816. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Roetherford, Mia Korinne can be contacted via phone (313) 587-0497.

Contact Information

Primary practice address
18697 Sunderland Rd Detroit MI 48219-2816
Phone: (313) 587-0497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L112282 Michigan

Profile Details

NPI number 1477058394
LBN Legal business name Roetherford, Mia Korinne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2018
Last updated Mar 25th, 2018 - about 6 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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