Dely, Jill F.

Dely, Jill F. is an individual health care provider with primary practice located at 11900 E 12 Mile Rd Suite 103, Warren MI 48093-3400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dely, Jill F. can be contacted via phone (586) 574-0890.

Contact Information

Primary practice address
11900 E 12 Mile Rd Suite 103 Warren MI 48093-3400
Phone: (586) 574-0890
Fax: (586) 574-9321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005004 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005004 Michigan

Profile Details

NPI number 1174714372
LBN Legal business name Dely, Jill F.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 19th, 2016 - about 9 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 1174714372 NPPES
Michigan Other 5601005004 STATE LICENSE

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