| Doctor Name: | DR. DEBORAH HABENICHT |
| NPI Number: | 1467424218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 4301074195 |
| Business Practice Address: | 42 North St.joseph Ave Suite 300 Niles, MI - 491202296 |
| Business Phone Number: | 2696872910 |
| Business Fax Number: | 2696878770 |
| Mailing Address: | 6416 Deans Hill Road, BERRIEN SPRINGS |
| State: | MI |
| Postal Code: | 491209750 |
| Phone Number: | 2694717741 |
| Fax Number: | 2694711581 |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 05/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 4301074195 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |