Gilmore, Jennifer Lee

Gilmore, Jennifer Lee is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Suite 500, East Lansing MI 48823-5376. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Gilmore, Jennifer Lee can be contacted via phone (517) 432-6144.

Contact Information

Primary practice address
4660 S Hagadorn Rd Suite 500 East Lansing MI 48823-5376
Fax: (517) 432-6150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5101012812 Michigan

Profile Details

NPI number 1043228653
LBN Legal business name Gilmore, Jennifer Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 13th, 2017 - about 7 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 1043228653 NPPES
Michigan MEDICAID 1043228653
Michigan MEDICAID 4219066

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