Perry, Qeara Deshawn

Perry, Qeara Deshawn is an individual health care provider with primary practice located at 12740 Sarsfield Ave , Warren MI 48089-4815. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Perry, Qeara Deshawn can be contacted via phone (313) 283-5987.

Contact Information

Primary practice address
12740 Sarsfield Ave Warren MI 48089-4815
Phone: (313) 283-5987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X P600707139401 Michigan
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X 0082013411158 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1316408503
LBN Legal business name Perry, Qeara Deshawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Mar 29th, 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 1316408503 NPPES
Michigan MEDICAID 103344666

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