Elam, Jennifer

Elam, Jennifer is an sole proprietor health care provider with primary practice located at 3560 Pine Grove Ave Ste 366, Port Huron MI 48060-1994. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Elam, Jennifer can be contacted via phone (502) 759-1123.

Contact Information

Primary practice address
3560 Pine Grove Ave Ste 366 Port Huron MI 48060-1994
Phone: (502) 759-1123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1607DT Kentucky
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1607DT Kentucky
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1607DT Kentucky

Profile Details

NPI number 1356443261
LBN Legal business name Elam, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jun 21st, 2013 - about 11 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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