Koonce, Beverly A

Koonce, Beverly A is an sole proprietor health care provider with primary practice located at 16520 Whitcomb St , Detroit MI 48235-3859. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is her primary health care specialty. Koonce, Beverly A can be contacted via phone (313) 835-6557.

Contact Information

Primary practice address
16520 Whitcomb St Detroit MI 48235-3859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 230011513890806 Michigan
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 3477-6190 Michigan

Profile Details

NPI number 1437303104
LBN Legal business name Koonce, Beverly A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2008
Last updated Sep 1st, 2011 - about 15 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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