DEBORAH SUE DISTEFANO (NPI# 1639264062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639264062 |
| Entity Type | Individual |
| Full Name | DEBORAH SUE DISTEFANO |
| Credential | CPHT |
| Practice Address |
512 Phoenix Street South Haven MI 49090 |
| Mailing Address |
56667 Orchard Lane Bangor MI 49013 |
| Practice Telephone | 2696371161 |
| Mailing Telephone | 2694275279 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 2215-0902-2083-1 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172558 | Deborah R Distefano | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-02-13 |
| Street Address |
512 PHOENIX STREET |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| 1790261832 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2018-07-12 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467568840 | Dawn Rachelle Beckwith | Pharmacy Technician | 512 Phoenix St, South Haven, MI 49090-1443 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631991 | Mohammad E Salman | Pharmacy Technician | 33280 Richard O Dr, Sterling Hts, MI 48310-6116 | 2020-05-26 |
| 1710443502 | Sherri Ann Brady | Pharmacy Technician | 840 Purdy Rd, Montgomery, MI 49255-9618 | 2019-02-16 |
| 1578039277 | Alexandra A Milantoni | Pharmacy Technician | 22509 Trombly St, Saint Clair Shores, MI 48080-2889 | 2018-10-19 |
| 1912473844 | Adam Mathew King | Pharmacy Technician | 1550 E Beltline Ave Se Ste 175, Grand Rapids, MI 49506-4362 | 2018-10-18 |
| 1225564735 | Ashley Nichole Kochan | Pharmacy Technician | 1001 N Leroy St, Fenton, MI 48430-5308 | 2017-05-03 |
| 1457886848 | Javeria Qamar | Pharmacy Technician | 19173 Red Oak Ln, Brownstown, MI 48193-8804 | 2017-04-24 |
| 1245764356 | Ashly Megan Kronberger | Pharmacy Technician | 312 Atlas St, Gwinn, MI 49841-2823 | 2017-04-14 |
| 1790153831 | Ryan Arthur Silverthorn | Pharmacy Technician | 2874 Tall Oaks Ct, Apt 11, Auburn Hills, MI 48326-4171 | 2015-09-06 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1861882730 | Alice Mathews | Pharmacy Technician | 7475 Creyts Rd, Dimondale, MI 48821-9416 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
Please comment or provide details below to improve the information on DEBORAH SUE DISTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.