Kathawa, Heather M

Kathawa, Heather M is an individual health care provider with primary practice located at 18101 Oakwood Blvd Emergency Dept, Dearborn MI 48124-4089. 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. Kathawa, Heather M can be contacted via phone (313) 593-8780.

Contact Information

Primary practice address
18101 Oakwood Blvd Emergency Dept Dearborn MI 48124-4089
Phone: (313) 593-8780
Fax: (313) 436-2864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006579 Michigan

Profile Details

NPI number 1689913410
LBN Legal business name Kathawa, Heather M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2013
Last updated May 9th, 2016 - about 10 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 1689913410 NPPES
Michigan Other 12501261 CAQH

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