Individual
CASEY ANSPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 S MAIN ST UNIT A, EATON RAPIDS, MI 48827-1779
(517) 663-6036
Mailing address
802 S MAIN ST UNIT A, EATON RAPIDS, MI 48827-1779
(517) 663-6036
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B260108564647
STATE IDENTIFICATION NUMBER/DRIVER'S LICENSE NUMBER
MI
Enumeration date
03/22/2024
Last updated
03/22/2024
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