Mwanda, Alice Opiyo

Mwanda, Alice Opiyo is an individual health care provider with primary practice located at 804 Service Rd A142, East Lansing MI 48824-7015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mwanda, Alice Opiyo can be contacted via phone (517) 353-3050.

Contact Information

Primary practice address
804 Service Rd A142 East Lansing MI 48824-7015
Phone: (517) 353-3050
Fax: (517) 432-3742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704244052 Michigan

Profile Details

NPI number 1346556719
LBN Legal business name Mwanda, Alice Opiyo
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Jun 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 1346556719 NPPES
Michigan Other 1235131137 BCBSM
Michigan MEDICAID 1346556719 BCBSM

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