Jennings, Katie Rose
Jennings, Katie Rose is an individual health care provider with primary practice located at 3000 Old Centre Rd , Portage MI 49024-4883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jennings, Katie Rose can be contacted via phone (269) 321-7546.Contact Information
Primary practice address
3000 Old Centre Rd
Portage MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601011951 | Michigan |
Profile Details
| NPI number | 1609652510 |
|---|---|
| LBN Legal business name | Jennings, Katie Rose |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2023 |
| Last updated | Jun 20th, 2024 - about 6 months 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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