Tice, Christie A
Tice, Christie A is an sole proprietor health care provider with primary practice located at 2028 Leif Ave , Norton Shores MI 49441-3650. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tice, Christie A can be contacted via phone (616) 456-8010.Contact Information
Primary practice address
2028 Leif Ave
Norton Shores MI 49441-3650
Phone: (616) 456-8010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1679098248 |
|---|---|
| LBN Legal business name | Tice, Christie A |
| Credentials | BACHELOR IN SCIENCE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679098248 | NPPES |
| Michigan | Other | 01 | OTHER |
| Michigan | MEDICAID | 05 | OTHER |
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