Kyle Modezjewsk Sheehan in Ann Arbor - Student In An Organized Health Care Education/training Program
Kyle Modezjewsk Sheehan - NPI 1205032000
Kyle Modezjewsk Sheehan is a Student In An Organized Health Care Education/training Program in Ann Arbor, Michigan. Kyle Modezjewsk Sheehan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Kyle Modezjewsk Sheehan is 1205032000. The last update date is 2021-05-03.
Kyle Modezjewsk Sheehan's current location address is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7349364000. The mailing address for Kyle Modezjewsk Sheehan is 1500 E Medical Center Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Modezjewsk Sheehan |
|---|---|
| Address | 1500 E Medical Center Dr, Ann Arbor, Michigan |
| Phone Number | 7349364000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205032000 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2021-05-03 |
Provider Mailing Address Detail
| Address | 1500 E Medical Center Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481095000 |
| Phone Number | 7349364000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 4301090616 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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What is the unique identifier code issued to Kyle Modezjewsk Sheehan by the Centers for Medicare & Medicaid Services?
The Kyle Modezjewsk Sheehan has been assigned the NPI (National Provider Identifier) 1205032000. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kyle Modezjewsk Sheehan is physically located?
The Kyle Modezjewsk Sheehan is physically situated at the following address: 1500 E Medical Center Dr, Ann Arbor, MI, 481095000.
What is the Kyle Modezjewsk Sheehan's specialty and taxonomy code?
The Kyle Modezjewsk Sheehan's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205032000 to Kyle Modezjewsk Sheehan?
The Kyle Modezjewsk Sheehan received its 1205032000 assignment from the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the Kyle Modezjewsk Sheehan's details last updated?
The information pertaining to the Kyle Modezjewsk Sheehan, including its address, specialty, and other details, was most recently updated on 2021-05-03.
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