Marshall-Diver, Andrea Michelle

Marshall-Diver, Andrea Michelle is an individual health care provider with primary practice located at 2925 Russell St , Detroit MI 48207. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Marshall-Diver, Andrea Michelle can be contacted via phone (313) 396-5300.

Contact Information

Primary practice address
2925 Russell St Detroit MI 48207
Phone: (313) 396-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 4704255578 Michigan

Profile Details

NPI number 1184265639
LBN Legal business name Marshall-Diver, Andrea Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated Oct 7th, 2019 - about 7 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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