Jagacki, Karissa L.

Jagacki, Karissa L. is an individual health care provider with primary practice located at 35337 Warren Rd , Westland MI 48185-2013. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Jagacki, Karissa L. can be contacted via phone (734) 467-5100.

Contact Information

Primary practice address
35337 Warren Rd Westland MI 48185-2013
Phone: (734) 467-5100
Fax: (734) 467-5103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000113 Michigan

Profile Details

NPI number 1164528246
LBN Legal business name Jagacki, Karissa L.
Credentials AU.D.,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 1st, 2008 - about 16 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 1164528246 NPPES
Michigan Other 640H227530 BCBS-SERVICES
Michigan MEDICAID 4704347 BCBS-SERVICES
Michigan Other 540H104260 BCBS-SERVICES
Michigan MEDICAID 4433772 BCBS-SERVICES
Michigan Other 0H10426 BCBS-SERVICES

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