Chimo, Catherine Marie
Chimo, Catherine Marie is an individual health care provider with primary practice located at 820 N Pine River St , Ithaca MI 48847-1118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chimo, Catherine Marie can be contacted via phone (989) 875-3722.Contact Information
Primary practice address
820 N Pine River St
Ithaca MI 48847-1118
Phone: (989) 875-3722
Fax: (989) 875-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601001489 | Michigan |
Profile Details
| NPI number | 1508896523 |
|---|---|
| LBN Legal business name | Chimo, Catherine Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 3rd, 2011 - about 15 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 | 1508896523 | NPPES |
| Michigan | Other | 0852915050 | BCBSM |
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