Hamilton, Jonnie M

Hamilton, Jonnie M is an individual health care provider with primary practice located at 2301 Van Dyke St , Detroit MI 48214-3958. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hamilton, Jonnie M can be contacted via phone (313) 866-9973.

Contact Information

Primary practice address
2301 Van Dyke St Detroit MI 48214-3958
Phone: (313) 866-9973
Fax: (313) 866-5749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704102288 Michigan

Profile Details

NPI number 1386648897
LBN Legal business name Hamilton, Jonnie M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 20th, 2011 - about 13 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 1386648897 NPPES
Michigan MEDICAID 4519204

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