Dehoorne, Etienne V

Dehoorne, Etienne V is an individual health care provider with primary practice located at 5401 Mcauley Drive , Ypsilanti MI 48197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dehoorne, Etienne V can be contacted via phone (734) 786-2300.

Contact Information

Primary practice address
5401 Mcauley Drive Ypsilanti MI 48197
Phone: (734) 786-2300
Fax: (734) 786-4915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301054294 Michigan

Profile Details

NPI number 1972654267
LBN Legal business name Dehoorne, Etienne V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Aug 28th, 2023 - about 3 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 1972654267 NPPES
Michigan MEDICAID 102960544
Michigan Other 260H161260

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