Supianoski, Kate Meryl

Supianoski, Kate Meryl is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 420, East Lansing MI 48823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Supianoski, Kate Meryl can be contacted via phone (517) 884-6100.

Contact Information

Primary practice address
4660 S Hagadorn Rd Ste 420 East Lansing MI 48823
Phone: (517) 884-6100
Fax: (517) 884-6233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005114 Michigan

Profile Details

NPI number 1679767222
LBN Legal business name Supianoski, Kate Meryl
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Jun 9th, 2016 - about 8 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 1679767222 NPPES
Michigan MEDICAID 1679767222

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