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AUSABLE MEDICAL ASSOCIATES PC
Family

NPI Profile for AUSABLE MEDICAL ASSOCIATES PC in GRAYLING, MI.

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Contact Information

AUSABLE MEDICAL ASSOCIATES, PC
81 S. I-75 BUSINESS LOOP
GRAYLING, MI  49738-0393
 Phone: 989-348-7400
 Fax: 888-821-5005
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
 

Medical

 363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AUSABLE MEDICAL ASSOCIATES PC · (Female)

NPI Number 1689697930
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 01/27/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4704159028
  • MI License # 4704216377
  • MI License # 5601002890
  • MI License # LH010698
  • MI Medicaid 104563113
  • MI Other 080B010120 MD'S & DO'S BCBS GRP #
  • MI Other 500B010130 NP'S BCBS GROUP #
Hospital affiliation(s) Not Available
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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