Hummel, Jodi Marie
Hummel, Jodi Marie is an individual health care provider with primary practice located at 3830 W Front St , Traverse City MI 49684-8153. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hummel, Jodi Marie can be contacted via phone (231) 929-3888.Contact Information
Primary practice address
3830 W Front St
Traverse City MI 49684-8153
Phone: (231) 929-3888
Fax: (231) 929-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004107 | Michigan |
Profile Details
| NPI number | 1497736102 |
|---|---|
| LBN Legal business name | Hummel, Jodi Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jan 15th, 2010 - about 15 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 | 1497736102 | NPPES |
| Michigan | MEDICAID | 944976991 | |
| Michigan | Other | 900B86347 | |
| Michigan | Other | 1020070001 |
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