Tuttle, Emmylou E

Tuttle, Emmylou E is an individual health care provider with primary practice located at 1101 W University Dr , Rochester MI 48307-1863. 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. Tuttle, Emmylou E can be contacted via phone (248) 652-5354.

Contact Information

Primary practice address
1101 W University Dr Rochester MI 48307-1863
Phone: (248) 652-5354
Fax: (248) 652-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704195685 Michigan

Profile Details

NPI number 1811040157
LBN Legal business name Tuttle, Emmylou E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Mar 20th, 2012 - about 13 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 1811040157 NPPES
Michigan Other 430F364550 BCBS
Michigan MEDICAID 4469630 BCBS
Michigan Other 11911170 BCBS

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