Fovenesi, Erica Michelle

Fovenesi, Erica Michelle is an individual health care provider with primary practice located at 4466 W Bristol Rd , Flint MI 48507-3170. 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. Fovenesi, Erica Michelle can be contacted via phone (810) 733-1200.

Contact Information

Primary practice address
4466 W Bristol Rd Flint MI 48507-3170
Phone: (810) 733-1200
Fax: (810) 733-0688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007093 Michigan

Profile Details

NPI number 1841692373
LBN Legal business name Fovenesi, Erica Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Jan 7th, 2022 - about 4 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 1841692373 NPPES
Michigan Other 5250505 BCBSM
Michigan MEDICAID 1841692373 BCBSM

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