Tice, Sharon Lee

Tice, Sharon Lee is an individual health care provider with primary practice located at 29255 Northwestern Hwy Suite 100, Southfield MI 48034-1018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tice, Sharon Lee can be contacted via phone (248) 358-2410.

Contact Information

Primary practice address
29255 Northwestern Hwy Suite 100 Southfield MI 48034-1018
Phone: (248) 358-2410
Fax: (248) 358-2470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301036723 Michigan

Profile Details

NPI number 1831177526
LBN Legal business name Tice, Sharon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Dec 17th, 2010 - about 14 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 1831177526 NPPES
Michigan MEDICAID 4495185-10

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