Schreckengust, Dawn Renee

Schreckengust, Dawn Renee is an individual health care provider with primary practice located at 1850 Pipestone Ave. #102-B, Benton Harbor MI 49022-2304. 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. Schreckengust, Dawn Renee can be contacted via phone (269) 925-8386.

Contact Information

Primary practice address
1850 Pipestone Ave. #102-B Benton Harbor MI 49022-2304
Phone: (269) 925-8386
Fax: (269) 925-4085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002947 Michigan

Profile Details

NPI number 1730305160
LBN Legal business name Schreckengust, Dawn Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730305160 NPPES
Michigan MEDICAID 102534
Michigan MEDICAID 06121A
Michigan MEDICAID 2820

Popular Providers