Favot, Mary Jane

Favot, Mary Jane is an individual health care provider with primary practice located at 15400 Michigan Ave Suite One, Dearborn MI 48126-3491. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Favot, Mary Jane can be contacted via phone (313) 584-3359.

Contact Information

Primary practice address
15400 Michigan Ave Suite One Dearborn MI 48126-3491
Phone: (313) 584-3359
Fax: (313) 584-1729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 109477 Michigan

Profile Details

NPI number 1043246564
LBN Legal business name Favot, Mary Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Oct 6th, 2009 - about 17 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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