Mckinnon, Gabriel

Mckinnon, Gabriel is an individual health care provider with primary practice located at 14550 Grandville Ave , Detroit MI 48223-2231. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Home Health Aide, Other Service Providers / Prevention Professional, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is his primary health care specialty. Mckinnon, Gabriel can be contacted via phone (313) 415-6151.

Contact Information

Primary practice address
14550 Grandville Ave Detroit MI 48223-2231
Phone: (313) 415-6151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Prevention Professional 405300000X 4703114910 Michigan
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703114910 Michigan

Profile Details

NPI number 1427617588
LBN Legal business name Mckinnon, Gabriel
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427617588 NPPES
Michigan MEDICAID 4703114910
Michigan Other 4703114910

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