Liggett, Jessica Elaine
Liggett, Jessica Elaine is an individual health care provider with primary practice located at 3000 Old Centre Rd , Portage MI 49024-4883. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Liggett, Jessica Elaine can be contacted via phone (269) 321-7546.Contact Information
Primary practice address
3000 Old Centre Rd
Portage MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 4301088493 | Michigan |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301088493 | Michigan |
Profile Details
| NPI number | 1619179710 |
|---|---|
| LBN Legal business name | Liggett, Jessica Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jan 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619179710 | NPPES |
| Michigan | MEDICAID | 1619179710 | |
| Michigan | Other | 4301088493 |
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