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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1083139349 NPPES
Michigan MEDICAID 4704170540

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