Ceccanese, Kim
Ceccanese, Kim is an sole proprietor health care provider with primary practice located at 135 Barclay Cir Suite 104, Rochester Hills MI 48307-4599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ceccanese, Kim can be contacted via phone (248) 853-7270.Contact Information
Primary practice address
135 Barclay Cir Suite 104
Rochester Hills MI 48307-4599
Phone: (248) 853-7270
Fax: (248) 853-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704150130 | Michigan |
Profile Details
| NPI number | 1780791954 |
|---|---|
| LBN Legal business name | Ceccanese, Kim |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1780791954 | NPPES |
| Michigan | MEDICAID | 4292496 | |
| Michigan | Other | 5008666430 |
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