Ciszewski, Jill Marie
Ciszewski, Jill Marie is an individual health care provider with primary practice located at 27278 Roney Ave , Brownstown Twp MI 48183-4849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ciszewski, Jill Marie can be contacted via phone (734) 552-6526.Contact Information
Primary practice address
27278 Roney Ave
Brownstown Twp MI 48183-4849
Phone: (734) 552-6526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704170540 | Michigan |
Profile Details
| NPI number | 1083139349 |
|---|---|
| LBN Legal business name | Ciszewski, Jill Marie |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2017 |
| Last updated | Feb 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083139349 | NPPES |
| Michigan | MEDICAID | 4704170540 |
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