Maiorana, Laura Kathleen

Maiorana, Laura Kathleen is an individual health care provider with primary practice located at 1221 Pine Grove Ave Emergency Department, Port Huron MI 48060-3511. 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. Maiorana, Laura Kathleen can be contacted via phone (810) 989-3300.

Contact Information

Primary practice address
1221 Pine Grove Ave Emergency Department Port Huron MI 48060-3511
Fax: (810) 985-2671
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006495 Michigan

Profile Details

NPI number 1629328455
LBN Legal business name Maiorana, Laura Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated Oct 9th, 2012 - about 14 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 1629328455 NPPES
Michigan MEDICAID 1629328455

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