Villasenor, Sally
Villasenor, Sally is an individual health care provider with primary practice located at 4200 Whitehall Dr Ste 150 , Ann Arbor MI 48105-9694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Villasenor, Sally can be contacted via phone (734) 995-0308.Contact Information
Primary practice address
4200 Whitehall Dr Ste 150
Ann Arbor MI 48105-9694
Phone: (734) 995-0308
Fax: (734) 995-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704210404 | Michigan |
Profile Details
| NPI number | 1992783906 |
|---|---|
| LBN Legal business name | Villasenor, Sally |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Sep 16th, 2020 - about 6 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 | 1992783906 | NPPES |
| Michigan | MEDICAID | 10-4639786 | |
| Michigan | MEDICAID | 11-4939817 | |
| Michigan | MEDICAID | 10-4639795 | |
| Michigan | MEDICAID | 11-4939782 | |
| Michigan | MEDICAID | 10-4639777 | |
| Michigan | MEDICAID | 11-4939791 | |
| Michigan | MEDICAID | 10-4639801 | |
| Michigan | MEDICAID | 11-4939826 |
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