Segura, Peggy L

Segura, Peggy L is an individual health care provider with primary practice located at 38935 Ann Arbor Rd , Livonia MI 48150-3397. 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. Segura, Peggy L can be contacted via phone (734) 632-0175.

Contact Information

Primary practice address
38935 Ann Arbor Rd Livonia MI 48150-3397
Phone: (734) 632-0175
Fax: (734) 632-0182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704240002 Michigan

Profile Details

NPI number 1528344298
LBN Legal business name Segura, Peggy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 13 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 1528344298 NPPES
Michigan Other PENDING CAQH
Michigan MEDICAID PENDING CAQH
Michigan Other 4704240002 CAQH

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