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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SHARON CABANSAG, MD
4600 BRETON RD SE
SUITE 102
KENTWOOD, MI49508-5262
 Phone: 616-391-9700
 Fax: 616-391-9707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHARON CABANSAG · (Female)

NPI Number 1871648576
Credentials MD
Entity Individual
Enumeration date 01/24/2007
Last updated 04/30/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
MI License # 4301080148
MI Medicaid 4301080148
MI Medicare PIN P1226002
Medicare UPIN I69229
Other 1463499 CIGNA
MI Other 7028920 AETNA
MI Other 0807510561 BCBS OF MICHIGAN
MI Other 0131451 IBA
MI Other 382243753 PPOM
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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