Provider Demographics
NPI:1720359847
Name:DAWN PIASCIK L.L.C.
Entity Type:Organization
Organization Name:DAWN PIASCIK L.L.C.
Other - Org Name:THE EDUCATION STATION FOR HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PIASCIK
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN,CHT
Authorized Official - Phone:586-430-4075
Mailing Address - Street 1:68364 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MI
Mailing Address - Zip Code:48062-1218
Mailing Address - Country:US
Mailing Address - Phone:586-430-4075
Mailing Address - Fax:
Practice Address - Street 1:68364 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MI
Practice Address - Zip Code:48062-1925
Practice Address - Country:US
Practice Address - Phone:586-430-4075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704175112163WM0102X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty