Fierstine, Jeffrey A

Fierstine, Jeffrey A is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fierstine, Jeffrey A can be contacted via phone (906) 225-4575.

Contact Information

Primary practice address
580 W College Ave Marquette MI 49855-2705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004497 Michigan

Profile Details

NPI number 1124001771
LBN Legal business name Fierstine, Jeffrey A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated May 19th, 2008 - about 17 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 1124001771 NPPES
Michigan Other 140E21083 BLUE CROSS BLUE SHIELD OF MI

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