Kaczmarczyk, Jack Louis

Kaczmarczyk, Jack Louis is an individual health care provider with primary practice located at 40600 Ann Arbor Rd E Ste 201 , Plymouth MI 48170-4675. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kaczmarczyk, Jack Louis can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
40600 Ann Arbor Rd E Ste 201 Plymouth MI 48170-4675
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704310792 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704310792 Michigan

Profile Details

NPI number 1427752401
LBN Legal business name Kaczmarczyk, Jack Louis
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2023
Last updated Oct 17th, 2023 - 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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