Jenq, Grace Yin
Jenq, Grace Yin is an individual health care provider with primary practice located at 1200 Earhart Rd , Ann Arbor MI 48105-2768. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Jenq, Grace Yin can be contacted via phone (734) 769-0177.Contact Information
Primary practice address
1200 Earhart Rd
Ann Arbor MI 48105-2768
Phone: (734) 769-0177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301109141 | Michigan |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301109141 | Michigan |
Profile Details
| NPI number | 1790710382 |
|---|---|
| LBN Legal business name | Jenq, Grace Yin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 9th, 2020 - about 5 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 | 1790710382 | NPPES |
| Connecticut | MEDICAID | 001397050 |
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