Kapenga, Jeanne M

Kapenga, Jeanne M is an sole proprietor health care provider with primary practice located at 4129 Okemos Rd Ste 6 , Okemos MI 48864-2821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Kapenga, Jeanne M can be contacted via phone (616) 822-5509.

Contact Information

Primary practice address
4129 Okemos Rd Ste 6 Okemos MI 48864-2821
Phone: (616) 822-5509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301406814 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 4301406814 Michigan

Profile Details

NPI number 1891742631
LBN Legal business name Kapenga, Jeanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jan 29th, 2024 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891742631 NPPES
Michigan MEDICAID 4823348-10

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