Doctor Name: | KATIE ACHILLI |
NPI Number: | 1609245406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 28546 Place St Gibraltar, MI - 481739778 |
Business Phone Number: | 7346862391 |
Business Fax Number: | |
Mailing Address: | 28546 Place St, GIBRALTAR |
State: | MI |
Postal Code: | 481739778 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/22/2015 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |