Provider Demographics
NPI:1851388532
Name:SAINZ, BEVERLY JANE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:JANE
Last Name:SAINZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3937 PATIENT CARE DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4287
Mailing Address - Country:US
Mailing Address - Phone:517-485-2317
Mailing Address - Fax:517-485-1490
Practice Address - Street 1:3937 PATIENT CARE WAY
Practice Address - Street 2:SUITE106
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4287
Practice Address - Country:US
Practice Address - Phone:517-485-2317
Practice Address - Fax:517-485-1490
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601002433363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIQ48885Medicare UPIN
MI0P20860Medicare ID - Type Unspecified