Ganley, Jodi Ann

Ganley, Jodi Ann is an individual health care provider with primary practice located at 32255 Northwestern Hwy Suite 130, Farmington Hills MI 48334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ganley, Jodi Ann can be contacted via phone (248) 723-5880.

Contact Information

Primary practice address
32255 Northwestern Hwy Suite 130 Farmington Hills MI 48334
Fax: (248) 723-5889
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101011599 Michigan

Profile Details

NPI number 1295785533
LBN Legal business name Ganley, Jodi Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 2nd, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295785533 NPPES
Michigan Other 130F375610 BLUE CROSS BLUE SHIELD
Michigan Other 700H273300 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1295785533 BLUE CROSS BLUE SHIELD

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