Agrusa, Jennifer

Agrusa, Jennifer is an sole proprietor health care provider with primary practice located at 43455 Schoenherr Rd , Sterling Heights MI 48313-1951. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Agrusa, Jennifer can be contacted via phone (586) 726-4823.

Contact Information

Primary practice address
43455 Schoenherr Rd Sterling Heights MI 48313-1951
Phone: (586) 726-4823
Fax: (586) 726-8365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704278593 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1639105695 Michigan

Profile Details

NPI number 1598141822
LBN Legal business name Agrusa, Jennifer
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2015
Last updated Dec 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598141822 NPPES
Michigan MEDICAID 1598141822

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