Gathers, Raechele C.

Gathers, Raechele C. is an individual health care provider with primary practice located at Henry Ford Health System 3031 West Grand Blvd., Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gathers, Raechele C. can be contacted via phone (313) 916-2454.

Contact Information

Primary practice address
Henry Ford Health System 3031 West Grand Blvd. Detroit MI 48202
Phone: (313) 916-2454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301072327 Michigan

Profile Details

NPI number 1285693804
LBN Legal business name Gathers, Raechele C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285693804 NPPES
Other RG072327 CHAMPUS-CHAMPUS
Other RG072327 CHAMPUS-CHAMPUS

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