St.Henry, Carol Patricia

St.Henry, Carol Patricia is an individual health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. 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. St.Henry, Carol Patricia can be contacted via phone (248) 858-6593.

Contact Information

Primary practice address
44405 Woodward Ave Pontiac MI 48341-5023
Phone: (248) 858-6593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704174022 Michigan

Profile Details

NPI number 1780629121
LBN Legal business name St.Henry, Carol Patricia
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 13th, 2012 - about 12 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 1780629121 NPPES
Other F36455247 CHMC MEDICARE PTAN
Other 11905331 CHMC MEDICARE PTAN

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