Blackeagle, Maryam

Blackeagle, Maryam is an individual health care provider with primary practice located at 8445 Norborne Ave , Dearborn Heights MI 48127-1125. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Blackeagle, Maryam can be contacted via phone (734) 727-3010.

Contact Information

Primary practice address
8445 Norborne Ave Dearborn Heights MI 48127-1125
Phone: (734) 727-3010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703085481 Michigan

Profile Details

NPI number 1104285881
LBN Legal business name Blackeagle, Maryam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2016
Last updated Feb 23rd, 2016 - about 10 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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