Equihua, Debra Ann
Equihua, Debra Ann is an individual health care provider with primary practice located at 2269 W 25Th Ave , Gary IN 46404-3367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Equihua, Debra Ann can be contacted via phone (219) 944-4187.Contact Information
Primary practice address
2269 W 25Th Ave
Gary IN 46404-3367
Phone: (219) 944-4187
Fax: (219) 944-4196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 72000093A | Indiana |
Profile Details
| NPI number | 1396819355 |
|---|---|
| LBN Legal business name | Equihua, Debra Ann |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Oct 31st, 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 | 1396819355 | NPPES |
| Indiana | MEDICAID | 200461140 |
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