Duff, Jeneal M
Duff, Jeneal M is an individual health care provider with primary practice located at 2373 64Th St Sw Ste 1300 , Byron Center MI 49315-7975. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Duff, Jeneal M can be contacted via phone (872) 588-3000.Contact Information
Primary practice address
2373 64Th St Sw Ste 1300
Byron Center MI 49315-7975
Phone: (872) 588-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085.006970 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601012103 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006970 | Illinois |
Profile Details
NPI number | 1346709052 |
---|---|
LBN Legal business name | Duff, Jeneal M |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 13th, 2019 |
Last updated | Jan 23rd, 2024 - about last year |
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 | 1346709052 | NPPES |
Michigan | Other | 5601012103 | STATE LICENSE |
Michigan | Other | 1159852 | STATE LICENSE |
Michigan | Other | 5315244931 | STATE LICENSE |
Michigan | Other | 385005452 | STATE LICENSE |
Michigan | Other | 085006970 | STATE LICENSE |
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