Jennings, Nadine S

Jennings, Nadine S is an sole proprietor health care provider with primary practice located at 2300 Haggerty Rd Ste 2150A , West Bloomfield MI 48323-2192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Jennings, Nadine S can be contacted via phone (248) 926-6610.

Contact Information

Primary practice address
2300 Haggerty Rd Ste 2150A West Bloomfield MI 48323-2192
Phone: (248) 926-6610
Fax: (248) 926-6611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301059614 Michigan

Profile Details

NPI number 1851361711
LBN Legal business name Jennings, Nadine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Jul 21st, 2022 - about 2 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 1851361711 NPPES
Michigan MEDICAID 104851960
Michigan Other 0634908
Michigan Other 5549289

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