Stefanko, June Ann

Stefanko, June Ann is an individual health care provider with primary practice located at 9249 W Lake City Rd , Houghton Lake MI 48629-9602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stefanko, June Ann can be contacted via phone (989) 422-5122.

Contact Information

Primary practice address
9249 W Lake City Rd Houghton Lake MI 48629-9602
Phone: (989) 422-5122
Fax: (989) 422-4378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704243451 Michigan

Profile Details

NPI number 1073579546
LBN Legal business name Stefanko, June Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 3rd, 2009 - about 15 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 1073579546 NPPES
Michigan MEDICAID 4872988

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