Tice, Sharon Lee
Tice, Sharon Lee is an individual health care provider with primary practice located at 29255 Northwestern Hwy Suite 100, Southfield MI 48034-1018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tice, Sharon Lee can be contacted via phone (248) 358-2410.Contact Information
Primary practice address
29255 Northwestern Hwy Suite 100
Southfield MI 48034-1018
Phone: (248) 358-2410
Fax: (248) 358-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301036723 | Michigan |
Profile Details
| NPI number | 1831177526 |
|---|---|
| LBN Legal business name | Tice, Sharon Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Dec 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831177526 | NPPES |
| Michigan | MEDICAID | 4495185-10 |
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