Jagt, Audrey
Jagt, Audrey is an sole proprietor health care provider with primary practice located at 1490 E Beltline Ave Se , Grand Rapids MI 49506-4336. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Jagt, Audrey can be contacted via phone (616) 940-0040.Contact Information
Primary practice address
1490 E Beltline Ave Se
Grand Rapids MI 49506-4336
Phone: (616) 940-0040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X |
Profile Details
| NPI number | 1154679348 |
|---|---|
| LBN Legal business name | Jagt, Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2012 |
| Last updated | Aug 21st, 2012 - about 12 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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