Vivio-Karle, Laura L

Vivio-Karle, Laura L is an individual health care provider with primary practice located at 1721 S Stephenson Ave , Iron Mountain MI 49801-3637. 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. Vivio-Karle, Laura L can be contacted via phone (906) 774-1313.

Contact Information

Primary practice address
1721 S Stephenson Ave Iron Mountain MI 49801-3637
Phone: (906) 774-1313
Fax: (906) 776-5639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2764-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006404 Michigan

Profile Details

NPI number 1063700854
LBN Legal business name Vivio-Karle, Laura L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2011
Last updated Oct 22nd, 2012 - about 14 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 1063700854 NPPES
Michigan Other 5220026 BCBS MI
Michigan MEDICAID 1063700854 BCBS MI

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