Ely, Jennifer R

Ely, Jennifer R is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 415, Lansing MI 48912-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Ely, Jennifer R can be contacted via phone (517) 484-2760.

Contact Information

Primary practice address
1200 E Michigan Ave Suite 415 Lansing MI 48912-1800
Phone: (517) 484-2760
Fax: (517) 484-3050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5101014115 Michigan

Profile Details

NPI number 1467422618
LBN Legal business name Ely, Jennifer R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 12th, 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 1467422618 NPPES
Michigan MEDICAID 4792321
Michigan MEDICAID 1467422618

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