Ivan, Rhonda Janiece

Ivan, Rhonda Janiece is an individual health care provider with primary practice located at 5400 Mackinaw Rd Ste 6100, Saginaw MI 48604-9515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ivan, Rhonda Janiece can be contacted via phone (989) 792-3100.

Contact Information

Primary practice address
5400 Mackinaw Rd Ste 6100 Saginaw MI 48604-9515
Phone: (989) 792-3100
Fax: (989) 792-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704135668 Michigan

Profile Details

NPI number 1134107766
LBN Legal business name Ivan, Rhonda Janiece
Credentials NP NURSE PRACTITIONE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 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 1134107766 NPPES
Michigan MEDICAID 4223256

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