Dunklow, Andrea

Dunklow, Andrea is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dunklow, Andrea can be contacted via phone (231) 947-0673.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704252790 Michigan

Profile Details

NPI number 1053713479
LBN Legal business name Dunklow, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Jul 26th, 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 1053713479 NPPES
Michigan Other 4704252790 LICENSE

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