Ferris, Jan Richard
Ferris, Jan Richard is an sole proprietor health care provider with primary practice located at 900 E Ganson St , Jackson MI 49201-1700. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ferris, Jan Richard can be contacted via phone (517) 789-6171.Contact Information
Primary practice address
900 E Ganson St
Jackson MI 49201-1700
Phone: (517) 789-6171
Fax: (517) 789-6200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2235 | Michigan |
Profile Details
| NPI number | 1063467686 |
|---|---|
| LBN Legal business name | Ferris, Jan Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Dec 31st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063467686 | NPPES |
| Michigan | MEDICAID | 945036409 |
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