Johnson, Jennifer Marie-Smith

Johnson, Jennifer Marie-Smith is an individual health care provider with primary practice located at 804 S Hamilton St , Saginaw MI 48602-1516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Jennifer Marie-Smith can be contacted via phone (989) 921-5372.

Contact Information

Primary practice address
804 S Hamilton St Saginaw MI 48602-1516
Phone: (989) 921-5372
Fax: (989) 921-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003542 Michigan

Profile Details

NPI number 1679561096
LBN Legal business name Johnson, Jennifer Marie-Smith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Apr 8th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679561096 NPPES
Other 1010145 MCLAREN HEALTH PLAN
Other 139492 MCLAREN HEALTH PLAN
Other 1010145 MCLAREN HEALTH PLAN
Other 256 MCLAREN HEALTH PLAN
Other 2832651 MCLAREN HEALTH PLAN
Other 970024194 MCLAREN HEALTH PLAN

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